Provider Demographics
NPI:1164316238
Name:ZENTENO, IRMA
Entity type:Individual
Prefix:
First Name:IRMA
Middle Name:
Last Name:ZENTENO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8420 QUIGLEY ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-3631
Mailing Address - Country:US
Mailing Address - Phone:303-345-3657
Mailing Address - Fax:
Practice Address - Street 1:8420 QUIGLEY ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-3631
Practice Address - Country:US
Practice Address - Phone:303-345-3657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant