Provider Demographics
NPI:1982077020
Name:YLARRAZ, HUGH (CONTRACTOR)
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:
Last Name:YLARRAZ
Suffix:
Gender:M
Credentials:CONTRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5121 PERRY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2605
Mailing Address - Country:US
Mailing Address - Phone:303-921-2138
Mailing Address - Fax:
Practice Address - Street 1:5121 PERRY ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-2605
Practice Address - Country:US
Practice Address - Phone:303-921-2138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAEC1409171WH0202X
COGCC5123018171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications