Jorge Davalos JR.
Internist Interventional Cardiology
1400 E Boulder St Suite 700
Colorado Springs
, Colorado 80909-5533
Jorge Davalos JR.
Internist Interventional Cardiology
1400 E Boulder St Suite 700
Colorado Springs
, Colorado 80909-5533
(719) 365-9969
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About
Features
Specialties
- Internist
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Jorge Davalos JR.
- 8890 N Union Blvd Ste 160
- Colorado Springs, CO
- Zip : 80920-7799
- Fax : (719) 365-9969
- Phone : (719) 365-9950
Second Address
- Jorge Davalos JR.
- 1400 E Boulder St Suite 700
- Colorado Springs, CO
- Zip : 80909-5533
- Fax : (719) 444-3759
- Phone : (719) 635-7172
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 2005-01066 | NC |
| N | 111NI0900X | Internist | 2005-01066 | NC |
| Y | 207RI0011X | Interventional Cardiology | 47345 | CO |
National Provider Identifier
| NPI | 1043436827 |
|---|---|
| Provider Name | Jorge Davalos JR. |
| First Address | Colorado Springs, CO 80920-7799 |
| Second Address | Colorado Springs, CO 80909-5533 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2007 |
| Last Update Date | 17/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 73402541 | (05) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.