| Jose Maria Partida Corona Md Pc | |
|
2950 E Flamingo Rd Suite E Las Vegas NV 89121-5208 | |
| (702) 565-6004 | |
| (702) 566-6009 |
| Full Name | Jose Maria Partida Corona Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2950 E Flamingo Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Jose Maria Partida Corona (PRESIDENT) |
| Authorized Official Contact | 7025656004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Maria Partida Corona Md Pc 2950 E Flamingo Rd Suite E Las Vegas NV 89121-5208 Ph: (702) 565-6004 | Jose Maria Partida Corona Md Pc 2950 E Flamingo Rd Suite E Las Vegas NV 89121-5208 Ph: (702) 565-6004 |
| NPI Number | 1417112970 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 03/31/2016 |
| Medicare PECOS PAC ID | 5799852729 |
|---|---|
| Medicare Enrollment ID | O20080917000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417112970 | NPI | - | NPPES |
| 1417112970 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11639 (Nevada) | Primary |
| Provider Name | Jose Maria Partida Corona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477518801 PECOS PAC ID: 0941221873 Enrollment ID: I20051207000771 |
| Provider Name | Kate L Jessop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730530189 PECOS PAC ID: 0446539126 Enrollment ID: I20161121001740 |
| Provider Name | Harmony Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992203533 PECOS PAC ID: 6305106121 Enrollment ID: I20180215001999 |
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