Active NPI
Caravita Health LLC
- Health Service Clinic/Center
- Boulder, CO
National Provider Identifier
1821876491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- CARAVITA HEALTH LLC
- Practice address
- 3065 Center Green Dr Ste 216
Boulder, CO 80301-2251 - Phone
- (720) 910-1410
- NPI assigned
- Sep 15, 2023
- 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
- Mario Rafael Anglada Cortes
- Title
- Ceo
- Phone
- (720) 761-1362
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
3065 Center Green Dr Ste 216
Boulder, CO 80301-2251
Mailing address
109 E 17TH St Ste 6178
Cheyenne, WY 82001-4543
Phone (720) 761-1362
National Provider Directory
National Provider DirectoryLocations
3065 Center Green Dr
Ste 216
Boulder, CO 80301
Phone (720) 910-1410
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology (Internal Medicine) Physician
- Ponce, PR
- NPI 1235348947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747872000000",
"number": "1821876491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 E 17TH ST STE 6178",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820014543",
"telephone_number": "720-761-1362",
"fax_number": "303-484-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3065 CENTER GREEN DR STE 216",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012251",
"telephone_number": "720-910-1410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARAVITA HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-15",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"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": "720-761-1362"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.