Individual provider · Type 1 NPI

Carlos Hermenegildo Cisneros Jr., MD

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

NPI number 1912793548 Active

Practice location

12631 E 17th Ave
Aurora, CO 80045-2527

Call (303) 724-3483 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XTL.0010745 (CO)

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 1912793548

Carlos Hermenegildo Cisneros Jr., MD's National Provider Identifier is 1912793548, issued on Apr 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Aurora, CO. The record was last updated on Apr 18, 2025.