Organization
CARAVITA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO RAFAEL ANGLADA CORTES (CEO)
(720) 761-1362
Entity
Organization
Contact information
Practice address
3065 CENTER GREEN DR STE 216, BOULDER, CO 80301-2251
(720) 910-1410
Mailing address
109 E 17TH ST STE 6178, CHEYENNE, WY 82001-4543
(720) 761-1362
(303) 484-0429
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
09/15/2023
Last updated
05/22/2025
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