| Clinica Medica Del Pueblo | |
|
216 N Lamb Blvd Las Vegas NV 89110-4674 | |
| (702) 459-2401 | |
| (702) 459-2405 |
| Full Name | Clinica Medica Del Pueblo |
|---|---|
| Speciality | Family Medicine |
| Location | 216 N Lamb Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Justo Sataray (PRESIDENT) |
| Authorized Official Contact | 7024592401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica Del Pueblo 216 N Lamb Blvd Las Vegas NV 89110-4674 Ph: (702) 459-2401 | Clinica Medica Del Pueblo 216 N Lamb Blvd Las Vegas NV 89110-4674 Ph: (702) 459-2401 |
| NPI Number | 1619110350 |
|---|---|
| Provider Enumeration Date | 04/10/2009 |
| Last Update Date | 07/13/2023 |
| Medicare PECOS PAC ID | 2264431527 |
|---|---|
| Medicare Enrollment ID | O20090512000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619110350 | NPI | - | NPPES |
| 1619110350 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jorge Solis Valdez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639101090 PECOS PAC ID: 9032135249 Enrollment ID: I20051018000191 |
| Provider Name | Justo Sataray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689619983 PECOS PAC ID: 2062402670 Enrollment ID: I20051102000303 |
| Provider Name | Carlos Enrique Jimenez Pozo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215579602 PECOS PAC ID: 7416388996 Enrollment ID: I20210223001871 |
| Provider Name | Sandra Noemi Traconis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487322038 PECOS PAC ID: 3173914306 Enrollment ID: I20211227000239 |
| Provider Name | Alma Felinor F Talavera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891396651 PECOS PAC ID: 6507259926 Enrollment ID: I20220208001224 |
| Provider Name | Adrian Castillo Milanes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770001950 PECOS PAC ID: 1456714088 Enrollment ID: I20230830002703 |
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