Provider Demographics
NPI:1699452516
Name:DESTINY URGENT CARES OF COLORADO LLC
Entity type:Organization
Organization Name:DESTINY URGENT CARES OF COLORADO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMANO
Authorized Official - Middle Name:N
Authorized Official - Last Name:ABUABA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-253-8473
Mailing Address - Street 1:7665 S EATON PARK CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-4293
Mailing Address - Country:US
Mailing Address - Phone:720-253-8473
Mailing Address - Fax:
Practice Address - Street 1:17200 E ILIFF AVE STE A7
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-5804
Practice Address - Country:US
Practice Address - Phone:720-477-4024
Practice Address - Fax:720-324-4778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care