Provider Demographics
NPI:1366433096
Name:LINN, BEATRIZ PELAEZ (MD)
Entity type:Individual
Prefix:MRS
First Name:BEATRIZ
Middle Name:PELAEZ
Last Name:LINN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:BEATRIZ
Other - Middle Name:
Other - Last Name:PELAEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1805 SHEA CENTER DR STE 301
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2251
Mailing Address - Country:US
Mailing Address - Phone:303-357-2559
Mailing Address - Fax:
Practice Address - Street 1:9397 CROWN CREST BLVD
Practice Address - Street 2:SUITE 420
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138
Practice Address - Country:US
Practice Address - Phone:303-269-4333
Practice Address - Fax:303-220-5053
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO36485207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01232628Medicaid
CO01232628Medicaid
C5438-1Medicare ID - Type Unspecified