Individual ProviderCarolina Gomez GrimaldiStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address12631 East 17th Avenue, 4th Floor, Academic Office One Ms B198-1, Aurora, CO 80045(303) 724-2041PECOS EnrollmentBased on the most recent information from CMS, provider Carolina Gomez Grimaldi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 8:47 AM.Profile DetailsProvider ID1417650789Provider TypeIndividualFull NameGomez Grimaldi, CarolinaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/24/2023Last Updated3/24/2023Contact InformationPractice LocationPractice Address12631 East 17th Avenue, 4th Floor, Academic Office One Ms B198-1, Aurora, CO 80045Phone(303) 724-2041FaxUnlisted FaxMailing LocationMailing Address12631 East 17th Avenue, 4th Floor, Academic Office One Ms B198-1, Aurora, CO 80045PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer