Luis Medina-garcia Md Pllc | |
840 S Rancho Dr Ste 4-917 Las Vegas NV 89106-3837 | |
(702) 461-9535 | |
Not Available |
Full Name | Luis Medina-garcia Md Pllc |
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Speciality | Internal Medicine |
Location | 840 S Rancho Dr Ste 4-917, Las Vegas, Nevada |
Authorized Official Name and Position | Luis Medina-garcia (OWNER) |
Authorized Official Contact | 7024619535 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Luis Medina-garcia Md Pllc 840 S Rancho Dr Ste 4-917 Las Vegas NV 89106-3837 Ph: (702) 461-9535 | Luis Medina-garcia Md Pllc 840 S Rancho Dr Ste 4-917 Las Vegas NV 89106-3837 Ph: (702) 461-9535 |
NPI Number | 1033847801 |
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Provider Enumeration Date | 08/10/2022 |
Last Update Date | 08/10/2022 |
Medicare PECOS PAC ID | 4880064476 |
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Medicare Enrollment ID | O20221222001247 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033847801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Luis Medina-garcia |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1013236405 PECOS PAC ID: 6103134630 Enrollment ID: I20221222001349 |
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