Provider Demographics
NPI:1164237533
Name:MONTOYA, GABRIELA LETICIA (CEO)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:LETICIA
Last Name:MONTOYA
Suffix:
Gender:F
Credentials:CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25961 E GEDDES CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5220
Mailing Address - Country:US
Mailing Address - Phone:720-837-8922
Mailing Address - Fax:
Practice Address - Street 1:25961 E GEDDES CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5220
Practice Address - Country:US
Practice Address - Phone:720-837-8922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemaker