Provider Demographics
NPI:1629873468
Name:QUIROZ VICTORIANO, KAREN ITZEL
Entity type:Individual
Prefix:
First Name:KAREN ITZEL
Middle Name:
Last Name:QUIROZ VICTORIANO
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 1:7526 HAROLD ST
Mailing Address - Street 2:
Mailing Address - City:FORT LUPTON
Mailing Address - State:CO
Mailing Address - Zip Code:80621-4022
Mailing Address - Country:US
Mailing Address - Phone:720-928-8667
Mailing Address - Fax:
Practice Address - Street 1:7526 HAROLD ST
Practice Address - Street 2:
Practice Address - City:FORT LUPTON
Practice Address - State:CO
Practice Address - Zip Code:80621-4022
Practice Address - Country:US
Practice Address - Phone:720-928-8667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSA.0003164246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant