Raul Eduardo Cubillas Manrique (NPI# 1679636120, PAC ID# 7911196266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1679636120 |
| PAC ID by PECOS | 7911196266 |
| Professional Enrollment ID | I20190917001287 |
| Full Name | Raul Eduardo Cubillas Manrique |
| Organization Legal Name | BOULDER VALLEY GASTROENTEROLOGY INC. |
| Address |
11900 Grant St Suite 360 Northglenn CO 80233-1117 |
| Phone Number | 3036045000 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 4688577174 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240093 | MAYO CLINIC HEALTH SYSTEM - MANKATO |
| 060009 | LUTHERAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 13952 Denver W Pkwy, Suite 100 Bldg 53, Lakewood, CO 80401-3141 | 3036045000 | BOULDER VALLEY GASTROENTEROLOGY INC. |
| 11900 Grant St, Suite 360, Northglenn, CO 80233-1117 | 3036045000 | BOULDER VALLEY GASTROENTEROLOGY INC. |
| Organization Legal Name | BOULDER VALLEY GASTROENTEROLOGY INC. |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Seto | Internal Medicine | Boulder Valley Gastroenterology Inc. | 23770 E Smoky Hill Rd, Aurora, CO 80016-3089 |
| Heather M Call | Physician Assistant | Boulder Valley Gastroenterology Inc. | 1000 Ws Boulder Rd, Lafayette, CO 80026-2753 |
| Steven T. Chetham | Gastroenterology | Boulder Valley Gastroenterology Inc. | 13952 Denver W Pkwy, Suite 100 Bldg 53, Lakewood, CO 80401-3141 |
| Emily Kay Ward | Gastroenterology | Boulder Valley Gastroenterology Inc. | 1000 W S Boulder Rd, Suite 200, Lafayette, CO 80026-2088 |
| Katie Elizabeth Murphy | Physician Assistant | Boulder Valley Gastroenterology Inc. | 1000 W S Boulder Rd, Suite 200, Lafayette, CO 80026-2088 |
| Peter S Kaye | Gastroenterology | Boulder Valley Gastroenterology Inc. | 1755 48th St, Suite 100, Boulder, CO 80301-2712 |
| Kirsten Risley | Physician Assistant | Boulder Valley Gastroenterology Inc. | 1000 W S Boulder Rd, Suite 200, Lafayette, CO 80026-2088 |
| Marissa Ann Benjamin | Physician Assistant | Boulder Valley Gastroenterology Inc. | 1000 W S Boulder Rd, Suite 200, Lafayette, CO 80026-2088 |
| Taimur Khan | Gastroenterology | Boulder Valley Gastroenterology Inc. | 1000 W S Boulder Rd, Suite 200, Lafayette, CO 80026-2088 |
| Ramu P Raju | Gastroenterology | Boulder Valley Gastroenterology Inc. | 1000 W S Boulder Rd, Suite 200, Lafayette, CO 80026-2088 |
| Street Address |
11900 GRANT ST SUITE 360 |
| City | NORTHGLENN |
| State | CO |
| Zip | 80233-1117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James D Davis | Podiatry | Scl Health Medical Group Denver LLC | 11900 Grant St, Suite 220, Northglenn, CO 80233-1117 |
| Kenneth Marvin | Cardiovascular Disease (cardiology) | Scl Health Medical Group Denver LLC | 11900 Grant St, Suite 240, Northglenn, CO 80233-1117 |
| Robert James Worley | Nurse Practitioner | Scl Health Medical Group Denver LLC | 11900 Grant St, Suite 240, Northglenn, CO 80233-1117 |
| Kaycee A Simon | Certified Registered Nurse Anesthetist (crna) | Boulder Valley Gastroenterology Inc. | 11900 Grant St, Suite 360, Northglenn, CO 80233-1117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hayley B Walter | Internal Medicine | Colorado Center for Arthritis and Osteoporosis | 11990 Grant St, Suite 108, Northglenn, CO 80233-1122 |
| Jonathan R Kruger | Rheumatology | Colorado Center for Arthritis and Osteoporosis | 11990 Grant St, Suite 108, Northglenn, CO 80233-1122 |
| William J Steinberger | Physical Therapy | 3951 E 120th Ave B, Accelerate Physical Therapy, Thornton, CO 80233-2088 | |
| Steven Medberry | Physical Therapy | Colorado Orthopedic Rehabilitation Specialist, LLC | 11325 N Colorado Blvd, Thornton, CO 80233-2601 |
| Bradley G Schoonveld | Physical Therapy | Colorado Orthopedic Rehabilitation Specialist, LLC | 11325 N Colorado Blvd, Thornton, CO 80233-2601 |
| Lily Wu | Physical Therapy | Colorado Orthopedic Rehabilitation Specialist, LLC | 11325 N Colorado Blvd, Thornton, CO 80233-2601 |
| Ann Robinson | Physical Therapy | Colorado Orthopedic Rehabilitation Specialist, LLC | 11325 N Colorado Blvd, Thornton, CO 80233-2601 |
| Erin E Caughman | Psychologist, Clinical | Community Reach Center Inc | 11285 Highline Dr, Northglenn, CO 80233-3076 |
| Natalie K. Leiferman | Clinical Social Worker | Community Reach Center Inc | 11285 Highline Dr, Northglenn, CO 80233-3076 |
| Mary I Bobye | Nurse Practitioner | Community Reach Center Inc | 11285 Highline Dr, Northglenn, CO 80233-3076 |
| Find all physicians in zip 80233 | |||
| City | NORTHGLENN |
| Zip Code | 80233 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | NORTHGLENN + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Raul Eduardo Cubillas Manrique.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.