| Soluna Family Medicine | |
|
2701 N Tenaya Way Suite 230 Las Vegas NV 89128-0478 | |
| (702) 463-3008 | |
| (702) 463-3051 |
| Full Name | Soluna Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2701 N Tenaya Way, Las Vegas, Nevada |
| Authorized Official Name and Position | Edward S Victoria (OWNER) |
| Authorized Official Contact | 7024633008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soluna Family Medicine 2701 N Tenaya Way Ste 190 Las Vegas NV 89128-1405 Ph: (702) 463-3008 | Soluna Family Medicine 2701 N Tenaya Way Suite 230 Las Vegas NV 89128-0478 Ph: (702) 463-3008 |
| NPI Number | 1750784583 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 08/12/2020 |
| Medicare PECOS PAC ID | 3577886795 |
|---|---|
| Medicare Enrollment ID | O20141219000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750784583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12452 (Nevada) | Primary |
| Provider Name | Edward Sollesa Victoria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447463500 PECOS PAC ID: 5991899353 Enrollment ID: I20071001000588 |
| Provider Name | Marilou D Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891127775 PECOS PAC ID: 7911132055 Enrollment ID: I20131028000935 |
| Provider Name | Elizabeth Beutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699188839 PECOS PAC ID: 6002038668 Enrollment ID: I20141114000860 |
| Provider Name | Nilda Alabro Atienza-isman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780171041 PECOS PAC ID: 9032458674 Enrollment ID: I20190226003364 |
| Provider Name | Rommel Lacsamana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710507868 PECOS PAC ID: 6608287883 Enrollment ID: I20201118002748 |
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