Advanced Medical Care | |
3663 E Sunset Rd Suite 302 Las Vegas NV 89120-3218 | |
(702) 834-7000 | |
(702) 834-7001 |
Full Name | Advanced Medical Care |
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Speciality | Internal Medicine |
Location | 3663 E Sunset Rd, Las Vegas, Nevada |
Authorized Official Name and Position | Mario Pineiro (OWNER) |
Authorized Official Contact | 7028347000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Medical Care Po Box 50070 Henderson NV 89016-0070 Ph: (702) 834-7000 | Advanced Medical Care 3663 E Sunset Rd Suite 302 Las Vegas NV 89120-3218 Ph: (702) 834-7000 |
NPI Number | 1417961335 |
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Provider Enumeration Date | 07/28/2006 |
Last Update Date | 04/06/2012 |
Medicare PECOS PAC ID | 9739182775 |
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Medicare Enrollment ID | O20060814000164 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417961335 | NPI | - | NPPES |
100500903 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 10615 (Nevada) | Primary |
Provider Name | Mario Pineiro |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306807425 PECOS PAC ID: 0749178614 Enrollment ID: I20040310001069 |
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