| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0648240770 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710102991 PECOS PAC ID: 8426029356 Enrollment ID: I20040804000758 |
| Provider Name | Zephyrene C Villaluz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801073481 PECOS PAC ID: 9638261126 Enrollment ID: I20110204000174 |
| Provider Name | Oscar Del Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730428848 PECOS PAC ID: 5799921102 Enrollment ID: I20130409000278 |
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