Irene Aguilar, MD
Individual provider Active NPI Internal Medicine Physician · Denver, CO
NPI 1790710317 · NPPES record last updated Aug 2, 2012
Key facts
- NPI
- 1790710317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 28643 (CO)
- Practice address
- 777 Bannock St
MC 1914
Denver, CO 80204-4507 - Phone
- (303) 436-6000
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28643 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health Alpine Clinic | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28643 | CO | Yes |
Addresses
Primary practice location
777 Bannock St
MC 1914
Denver, CO 80204-4507
Mailing address
777 Bannock St
MC 1914
Denver, CO 80204-4507
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01286434 | Medicaid | CO | |
| 84-1343242-4N | Other | CO | PACIFICARE |
Other providers in Denver, CO
- Connie Aguero
- Linda Aguero
- Lorena Aguilar Vazquez
- Norma Aguilar-Dave
- Anastasia Nicole Aguilar
- Judy Ann Medical Aguilar
- Kristi Aguilar
- Sergio Aguilar
- Alejandro Aguilera Rodriguez
- Liana Carmen Aguirre-Echevarria
All providers in Denver, CO · Internal Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.