Active NPI
Ricardo Hernandez Gutierrez
- Durable Medical Equipment & Medical Supplies
- Colorado Springs, CO
National Provider Identifier
1811548654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 1623 Jet Wing Dr
Colorado Springs, CO 80916-2258 - Phone
- (719) 434-2446
- Fax
- (719) 465-3207
- NPI assigned
- Sep 23, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | CO | Primary |
Addresses
Primary practice location
1623 Jet Wing Dr
Colorado Springs, CO 80916-2258
Mailing address
1623 Jet Wing Dr
Colorado Springs, CO 80916-2258
Phone (719) 434-2446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lean DME LLC | Durable Medical Equipment & Medical Supplies | Current | Accepting new patients |
Locations
1623 Jet Wing Dr
Colorado Springs, CO 80916
Phone (719) 434-2446
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Colorado Springs, CO
- NPI 1376185421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1811548654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1623 JET WING DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809162258",
"telephone_number": "719-434-2446",
"fax_number": "719-465-3207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1623 JET WING DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809162258",
"telephone_number": "719-434-2446",
"fax_number": "719-465-3207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ GUTIERREZ",
"first_name": "RICARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-23",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.