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Contact Information

CHARLES E FUENZALIDA, MD
1444 S POTOMAC ST
SUITE 300
AURORA, CO80012-4508
 Phone: 303-750-0822
 Fax: 303-750-1298
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHARLES E FUENZALIDA · (Male)

NPI # 1730175688
Status Active
Credentials MD
Entity Individual
Enumeration date 09/26/2005
Last updated 01/26/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 25164
  • CO Medicaid 01251644
  • KS Medicaid 100171260C
  • NE Medicaid 10026280600
  • NE Medicaid 10026280700
  • NE Medicaid 10026280800
  • NE Medicaid 10026281000
  • NE Medicaid 10026281200
  • NE Medicaid 10026283100
  • NE Medicaid 1982948089
  • NM Medicaid 35476273
  • WY Medicaid 1730175688
  • CO Other 271395YN6L MEDICARE
Hospital affiliation(s)
  • MEDICAL CENTER OF AURORA THE - (Acute Care)
    1501 S POTOMAC ST
    AURORA, CO 80012
  • SKY RIDGE MEDICAL CENTER - (Acute Care)
    10101 RIDGE GATE PARKWAY
    LONE TREE, CO 80124
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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