Individual
MIGUEL GUILLERMO MEDINA Y CRUZ PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 OXFORD PL, DURANGO, CO 81303-8137
(424) 298-0039
Mailing address
60 OXFORD PL, DURANGO, CO 81303-8137
(424) 298-0039
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
1033935069
CO
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
04/15/2026
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