| Bella Vida Medicine Pc | |
|
1815 W Charleston Blvd Ste 1 Las Vegas NV 89102-2344 | |
| (702) 463-5538 | |
| Not Available |
| Full Name | Bella Vida Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1815 W Charleston Blvd Ste 1, Las Vegas, Nevada |
| Authorized Official Name and Position | Mohamed Eslam Elmissirey (PRESIDENT) |
| Authorized Official Contact | 7024635538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bella Vida Medicine Pc 1815 W Charleston Blvd Ste 1 Las Vegas NV 89102-2344 Ph: () - | Bella Vida Medicine Pc 1815 W Charleston Blvd Ste 1 Las Vegas NV 89102-2344 Ph: (702) 463-5538 |
| NPI Number | 1679226310 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 02/02/2022 |
| Medicare PECOS PAC ID | 1052793601 |
|---|---|
| Medicare Enrollment ID | O20231011002062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679226310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Noemi D Cabrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558872986 PECOS PAC ID: 0143589960 Enrollment ID: I20180123003109 |
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