Individual
JOSE ALBERTO DIAZ LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
562 SABLE BLVD, AURORA, CO 80011-0808
(303) 697-2583
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 697-2583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1634524
CO
363L00000X
Nurse Practitioner
Primary
APN.0994212-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0994212-NP
CO
Other
Enumeration date
01/04/2019
Last updated
04/07/2026
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