Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 45200 | CO |
NPI | 1083773964 |
---|---|
Provider Name | Luis F Amador |
First Address | Aurora, CO 80012-4514 |
Second Address | Aurora, CO 80012-4514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2006 |
Last Update Date | 11/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10177540 | (05) | CO |
151790601 | (05) | TX |
H25464 | (02) | CO |
H25464 | (02) | TX |