| Dr Candice Deguzman Fortunato, MD | |
|
500 N Rainbow Blvd, Ste 300, Las Vegas, NV 89107-1082 | |
| (702) 439-3309 | |
| (702) 947-6740 |
| Full Name | Dr Candice Deguzman Fortunato |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 500 N Rainbow Blvd, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619101490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 14750 (Nevada) | Secondary |
| 208000000X | Pediatrics | 14750 (Nevada) | Secondary |
| 208M00000X | Hospitalist | 14750 (Nevada) | Primary |
| Entity Name | Pokroy Medical Group Of Nevada Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992809412 PECOS PAC ID: 7911037643 Enrollment ID: O20100607000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Candice Deguzman Fortunato, MD 500 N Rainbow Blvd, Ste 300, Las Vegas, NV 89107-1082 Ph: (702) 439-3309 | Dr Candice Deguzman Fortunato, MD 500 N Rainbow Blvd, Ste 300, Las Vegas, NV 89107-1082 Ph: (702) 439-3309 |
Dr. Trent T Richardson, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8280 W Warm Springs Rd, Las Vegas, NV 89113 Phone: 702-492-8592 Fax: 702-492-8045 | |
Dr. Vinod Korrapati, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 2720 N Tenaya Way, Las Vegas, NV 89128 Phone: 419-865-3040 Fax: 702-560-2928 | |
Juan Esteban Rey Rueda, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3540 W Sahara Ave # 330, Las Vegas, NV 89102 Phone: 725-217-8555 Fax: 702-259-1252 | |
Dr. Raoul I Tamayo, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-207-8253 Fax: 702-207-8256 | |
Shamoona Ahmed, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-207-8253 Fax: 702-207-8256 | |
Ms. Ekaterine Asambadze, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-207-8263 Fax: 702-207-8256 | |
Michael Lin, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144 Phone: 702-962-9540 |