| Antuna Medical Pllc | |
|
2121 E Flamingo Rd Ste 202 Las Vegas NV 89119-5124 | |
| (702) 463-3007 | |
| (702) 463-2273 |
| Full Name | Antuna Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2121 E Flamingo Rd Ste 202, Las Vegas, Nevada |
| Authorized Official Name and Position | Fulgencio Antuna (MANAGING MEMBER) |
| Authorized Official Contact | 7024633007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antuna Medical Pllc 2121 E Flamingo Rd Ste 202 Las Vegas NV 89119-5124 Ph: (702) 463-3007 | Antuna Medical Pllc 2121 E Flamingo Rd Ste 202 Las Vegas NV 89119-5124 Ph: (702) 463-3007 |
| NPI Number | 1912686650 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Medicare PECOS PAC ID | 6800259870 |
|---|---|
| Medicare Enrollment ID | O20230824002176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912686650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Fulgencio Antuna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194897934 PECOS PAC ID: 5294711123 Enrollment ID: I20071203000289 |
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