| Partida Medical Center Llc | |
|
5757 Wayne Newton Blvd Terminal 1 Mezzanine Level 2 Las Vegas NV 89111-8037 | |
| (702) 261-6707 | |
| (702) 261-6744 |
| Full Name | Partida Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5757 Wayne Newton Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Jose M Partida Corona (OWNER) |
| Authorized Official Contact | 7022616707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Partida Medical Center Llc Po Box 34625 Las Vegas NV 89133-4625 Ph: (702) 261-6707 | Partida Medical Center Llc 5757 Wayne Newton Blvd Terminal 1 Mezzanine Level 2 Las Vegas NV 89111-8037 Ph: (702) 261-6707 |
| NPI Number | 1710375159 |
|---|---|
| Provider Enumeration Date | 01/08/2015 |
| Last Update Date | 03/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710375159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11639 (Nevada) | Primary |
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