| Antonio Serru Paez Md Professional Corporation | |
|
4424 S Eastern Ave Las Vegas NV 89119-7825 | |
| (702) 732-7440 | |
| (702) 732-9672 |
| Full Name | Antonio Serru Paez Md Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 4424 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Antonio Serru Paez (PRESIDENT) |
| Authorized Official Contact | 7027327440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Serru Paez Md Professional Corporation 4424 S Eastern Ave Las Vegas NV 89119-7825 Ph: (702) 732-7440 | Antonio Serru Paez Md Professional Corporation 4424 S Eastern Ave Las Vegas NV 89119-7825 Ph: (702) 732-7440 |
| NPI Number | 1992090310 |
|---|---|
| Provider Enumeration Date | 06/14/2011 |
| Last Update Date | 04/07/2025 |
| Medicare PECOS PAC ID | 8729256748 |
|---|---|
| Medicare Enrollment ID | O20110719000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992090310 | NPI | - | NPPES |
| Provider Name | Antonio Serru Paez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407971732 PECOS PAC ID: 2062551013 Enrollment ID: I20091203000631 |
| Provider Name | Alien R Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558825463 PECOS PAC ID: 1850626557 Enrollment ID: I20190717003650 |
| Provider Name | Andres E Teran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790441855 PECOS PAC ID: 2163812256 Enrollment ID: I20211203001446 |
| Provider Name | Kody Brett Allard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699376558 PECOS PAC ID: 7315313749 Enrollment ID: I20221026001012 |
| Provider Name | Roberto Martell Sarduy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295517423 PECOS PAC ID: 9133655798 Enrollment ID: I20241206001017 |
| Provider Name | Pedro Rafael Vila Cabrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891538385 PECOS PAC ID: 2466977343 Enrollment ID: I20250423002483 |
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