Provider Demographics
NPI:1730075151
Name:MARQUEZ GOMES, ELIZABETH
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:MARQUEZ GOMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 PRONGHORN CT
Mailing Address - Street 2:
Mailing Address - City:WIGGINS
Mailing Address - State:CO
Mailing Address - Zip Code:80654-7956
Mailing Address - Country:US
Mailing Address - Phone:303-521-2867
Mailing Address - Fax:
Practice Address - Street 1:509 PRONGHORN CT
Practice Address - Street 2:
Practice Address - City:WIGGINS
Practice Address - State:CO
Practice Address - Zip Code:80654-7956
Practice Address - Country:US
Practice Address - Phone:303-521-2867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter