| Puso, Llc | |
|
801 S Rancho Dr Ste A2 Las Vegas NV 89106-3870 | |
| (702) 483-3630 | |
| (800) 579-9591 |
| Full Name | Puso, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 801 S Rancho Dr Ste A2, Las Vegas, Nevada |
| Authorized Official Name and Position | Salvador Garcia Borromeo (OWNER) |
| Authorized Official Contact | 7026837876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Puso, Llc 801 S Rancho Dr Ste A2 Las Vegas NV 89106-3870 Ph: (702) 483-3630 | Puso, Llc 801 S Rancho Dr Ste A2 Las Vegas NV 89106-3870 Ph: (702) 483-3630 |
| NPI Number | 1083987630 |
|---|---|
| Provider Enumeration Date | 02/13/2012 |
| Last Update Date | 09/10/2021 |
| Certification Date | 09/10/2021 |
| Medicare PECOS PAC ID | 2062676430 |
|---|---|
| Medicare Enrollment ID | O20120614000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083987630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Salvador Iii Borromeo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669461919 PECOS PAC ID: 2062319817 Enrollment ID: I20031218000497 |
| Provider Name | Rowena Dela Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134555865 PECOS PAC ID: 2668604455 Enrollment ID: I20140409001813 |
| Provider Name | Gina Balgoyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891206983 PECOS PAC ID: 9931466190 Enrollment ID: I20171127002401 |
| Provider Name | Chee Hiong Koh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588191746 PECOS PAC ID: 5395005656 Enrollment ID: I20180205002752 |
| Provider Name | Stella J Rabara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679086706 PECOS PAC ID: 5799049250 Enrollment ID: I20180509000572 |
| Provider Name | Maria M Aragon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124504477 PECOS PAC ID: 3173861952 Enrollment ID: I20190221001019 |
| Provider Name | Lady May Oracion Panelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891244463 PECOS PAC ID: 4981983319 Enrollment ID: I20210816000776 |
| Provider Name | Iredila Timagos Bynum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740044627 PECOS PAC ID: 9032652342 Enrollment ID: I20240614002248 |
| Provider Name | Carmeli C Ancheta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417798240 PECOS PAC ID: 9436699329 Enrollment ID: I20240905004384 |
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