Alba Family Clinic Inc | |
2560 S Maryland Pkwy Ste 12 Las Vegas NV 89109-1672 | |
(702) 444-7524 | |
Not Available |
Full Name | Alba Family Clinic Inc |
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Speciality | General Practice |
Location | 2560 S Maryland Pkwy Ste 12, Las Vegas, Nevada |
Authorized Official Name and Position | Yisel Viamontes-marrero (PRESIDENT) |
Authorized Official Contact | 7024447524 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alba Family Clinic Inc 2560 S Maryland Pkwy Ste 12 Las Vegas NV 89109-1672 Ph: (702) 444-7524 | Alba Family Clinic Inc 2560 S Maryland Pkwy Ste 12 Las Vegas NV 89109-1672 Ph: (702) 444-7524 |
NPI Number | 1902568132 |
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Provider Enumeration Date | 10/05/2021 |
Last Update Date | 10/05/2021 |
Medicare PECOS PAC ID | 2567850001 |
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Medicare Enrollment ID | O20211103000683 |
Identifier | Type | State | Issuer |
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1902568132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Rosemary A Nowins |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831239524 PECOS PAC ID: 8628237542 Enrollment ID: I20120313000833 |
Provider Name | Gabriela Khilnani |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497039564 PECOS PAC ID: 0042470247 Enrollment ID: I20120326000731 |
Provider Name | Alan B Jauregui |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972792075 PECOS PAC ID: 4082870001 Enrollment ID: I20120720000469 |
Provider Name | Gilda Rosa Fernandez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568933984 PECOS PAC ID: 3072946987 Enrollment ID: I20191207000150 |
Provider Name | Alma Felinor F Talavera |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891396651 PECOS PAC ID: 6507259926 Enrollment ID: I20220208001224 |
Provider Name | Maria J Arnaiz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518627561 PECOS PAC ID: 7113311416 Enrollment ID: I20220302002937 |
Provider Name | Juan Carlos Palma Jorge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134832173 PECOS PAC ID: 5294123733 Enrollment ID: I20230213000256 |
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