Zephyrene C Villaluz Md Chtd | |
1825 Civic Center Drive N Las Vegas NV 89030 | |
(702) 642-8313 | |
(702) 642-8903 |
Full Name | Zephyrene C Villaluz Md Chtd |
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Speciality | Family Medicine |
Location | 1825 Civic Center Drive, N Las Vegas, Nevada |
Authorized Official Name and Position | Zephyrene C Villaluz (PRESIDENT OWNER) |
Authorized Official Contact | 7026428313 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Zephyrene C Villaluz Md Chtd 1825 Civic Center Drive N Las Vegas NV 89030 Ph: (702) 642-8313 | Zephyrene C Villaluz Md Chtd 1825 Civic Center Drive N Las Vegas NV 89030 Ph: (702) 642-8313 |
NPI Number | 1356415616 |
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Provider Enumeration Date | 11/20/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0648240770 |
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Medicare Enrollment ID | O20040727001431 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356415616 | NPI | - | NPPES |
2019236 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6679 (Nevada) | Primary |
Provider Name | Tierney L Tirey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710102991 PECOS PAC ID: 8426029356 Enrollment ID: I20040804000758 |
Provider Name | Zephyrene C Villaluz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801073481 PECOS PAC ID: 9638261126 Enrollment ID: I20110204000174 |
Provider Name | Oscar Del Rosario |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730428848 PECOS PAC ID: 5799921102 Enrollment ID: I20130409000278 |
Intermountain Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 W Craig Rd, N Las Vegas, NV 89032 Phone: 702-657-9555 Fax: 702-657-9040 | |
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