Active NPI
Corazon T. Aguilar, M.D., P.C.
- Family Medicine Physician
- Denver, CO
National Provider Identifier
1750825923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31358
- Legal business name
- CORAZON T. AGUILAR, M.D., P.C.
- Practice address
- 1214 S Sheridan Blvd
Denver, CO 80232-8022 - Phone
- (720) 506-4868
- Fax
- (303) 935-7597
- NPI assigned
- Dec 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vannehe Eich
- Title
- Operations
- Phone
- (303) 369-1077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31358 | CO | Primary |
Addresses
Primary practice location
1214 S Sheridan Blvd
Denver, CO 80232-8022
Mailing address
1550 S Potomac St Ste 230
Aurora, CO 80012-5455
Phone (303) 369-1077
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01199124 | Medicaid | CO | |
| 01313584 | Medicaid | CO |
Other names 1
- Guardian Angels Health Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543190400000",
"number": "1750825923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 S POTOMAC ST STE 230",
"city": "AURORA",
"state": "CO",
"postal_code": "800125455",
"telephone_number": "303-369-1077",
"fax_number": "303-369-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 S SHERIDAN BLVD",
"city": "DENVER",
"state": "CO",
"postal_code": "802328022",
"telephone_number": "720-506-4868",
"fax_number": "303-935-7597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORAZON T. AGUILAR, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-07",
"last_updated": "2018-11-26",
"status": "A",
"authorized_official_last_name": "EICH",
"authorized_official_first_name": "VANNEHE",
"authorized_official_title_or_position": "OPERATIONS",
"authorized_official_telephone_number": "303-369-1077"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CO",
"license": "31358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01199124",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01313584",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Guardian Angels Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.