Guadalupe Health LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GUADALUPE HEALTH LLC

Practice address

15062 W 82ND PL
Arvada, CO 80007-8308

Phone

(720) 550-1633

NPI assigned

May 31, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mario Rafael Anglada Cortes

Title

Ceo

Phone

(720) 910-1410

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1003656471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740313",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800060313",
            "telephone_number": "720-550-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15062 W 82ND PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800078308",
            "telephone_number": "720-550-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "ANGLADA CORTES",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-910-1410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Arvada, CO
• Providers in Arvada, CO by specialty
• Health Service Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.