| Enrique Jose. Lacayo, M.d., Ltd. | |
|
2010 Goldring Ave Suite 302 Las Vegas NV 89106-4002 | |
| (702) 382-6970 | |
| (702) 382-9493 |
| Full Name | Enrique Jose. Lacayo, M.d., Ltd. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2010 Goldring Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Enrique Jose Lacayo (PRESIDENT/OWNER) |
| Authorized Official Contact | 7023826970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enrique Jose. Lacayo, M.d., Ltd. 2010 Goldring Ave Suite 302 Las Vegas NV 89106-4002 Ph: (702) 382-6970 | Enrique Jose. Lacayo, M.d., Ltd. 2010 Goldring Ave Suite 302 Las Vegas NV 89106-4002 Ph: (702) 382-6970 |
| NPI Number | 1043593296 |
|---|---|
| Provider Enumeration Date | 09/23/2011 |
| Last Update Date | 10/03/2011 |
| Medicare PECOS PAC ID | 8325210750 |
|---|---|
| Medicare Enrollment ID | O20111007000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043593296 | NPI | - | NPPES |
| 89707 | Other | HEALTH PARTNERS | |
| 002002214 | Medicaid | NV | |
| 275 | Other | NV | NEVADA CARE |
| 102134004 | Other | RAILROAD MEDICARE | |
| 25647 | Other | NV | BLUE CROSS |
| 2499444 | Other | GHI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 3199 (Nevada) | Primary |
| Provider Name | Enrique J Lacayo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114958683 PECOS PAC ID: 2860427184 Enrollment ID: I20051005000459 |
Medical Group At Sun City, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-240-8155 Fax: 702-240-8161 | |
Viren B Patel Do A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7010 Smoke Ranch Rd, Suite 120, Las Vegas, NV 89128 Phone: 702-477-7044 Fax: 702-259-4843 | |
Shari Klein Do A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8571 W Lake Mead Blvd Ste 100, Las Vegas, NV 89128 Phone: 702-545-0283 Fax: 702-545-0285 | |
Ardeshir Rohani Md Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3824 S Jones Blvd Ste A, Las Vegas, NV 89103 Phone: 702-463-3000 Fax: 702-463-3000 | |
Mai Health And Beauty Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6771 W Charleston Blvd, Ste. B, Las Vegas, NV 89146 Phone: 702-480-2044 | |
Rebecca Garcia Fnp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183 Phone: 435-896-7944 | |
Bedrock Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2235 E Flamingo Rd Ste 144, Las Vegas, NV 89119 Phone: 702-272-9500 |