Guanaroca Medical Center Inc | |
5130 S Pecos Rd Las Vegas NV 89120-1201 | |
(725) 205-3203 | |
(725) 205-1861 |
Full Name | Guanaroca Medical Center Inc |
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Speciality | Clinic/Center |
Location | 5130 S Pecos Rd, Las Vegas, Nevada |
Authorized Official Name and Position | Alexeis Ares-gattorno (CEO) |
Authorized Official Contact | 7254006444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Guanaroca Medical Center Inc 68 Incline Village Ct Henderson NV 89074-0693 Ph: (725) 400-6444 | Guanaroca Medical Center Inc 5130 S Pecos Rd Las Vegas NV 89120-1201 Ph: (725) 205-3203 |
NPI Number | 1568032548 |
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Provider Enumeration Date | 06/30/2021 |
Last Update Date | 10/13/2021 |
Medicare PECOS PAC ID | 1355739400 |
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Medicare Enrollment ID | O20211022001787 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568032548 | NPI | - | NPPES |
1568032548 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Noemi D Cabrera |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558872986 PECOS PAC ID: 0143589960 Enrollment ID: I20180123003109 |
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