| Porferia Montesclaros Md Llc | |
|
2920 N Green Valley Pkwy Bldg 3 Suite 312 Henderson NV 89014-0406 | |
| (702) 253-1173 | |
| (702) 253-1468 |
| Full Name | Porferia Montesclaros Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2920 N Green Valley Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Porferia D Montesclaros (OWNER) |
| Authorized Official Contact | 7022531173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Porferia Montesclaros Md Llc 2920 N Green Valley Pkwy Bldg 3 Suite 312 Henderson NV 89014-0406 Ph: (702) 253-1173 | Porferia Montesclaros Md Llc 2920 N Green Valley Pkwy Bldg 3 Suite 312 Henderson NV 89014-0406 Ph: (702) 253-1173 |
| NPI Number | 1417154188 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417154188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 11575 (Nevada) | Primary |
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