Individual provider · Type 1 NPI

Dara Sophia La Madrid

Student in an Organized Health Care Education/Training Program · Durango, CO

NPI number 1790690055 Active

Practice location

150 E 9th St Ste 205
Durango, CO 81301-5446

Mailing address

2002 E River Rd Apt P9
Tucson, AZ 85718-6563

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790690055

Dara Sophia La Madrid's National Provider Identifier is 1790690055, issued on Aug 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Durango, CO. The record was last updated on Aug 18, 2026.