Roland Jayson Formoso Pua in Las Vegas - Geriatric Medicine
Roland Jayson Formoso Pua - NPI 1215009782
Roland Jayson Formoso Pua is a Geriatric Medicine in Las Vegas, Nevada. Roland Jayson Formoso Pua practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Roland Jayson Formoso Pua is 1215009782. The last update date is 2021-09-08.
Roland Jayson Formoso Pua's current location address is 9460 W Flamingo Rd, Las Vegas, Nevada. You can contact this provider via phone number 7026387705 and fax number 7026387706. The mailing address for Roland Jayson Formoso Pua is 9460 W Flamingo Rd, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
Provider Name | Roland Jayson Formoso Pua |
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Address | 9460 W Flamingo Rd, Las Vegas, Nevada |
Phone Number | 7026387705 |
Fax Number | 7026387706 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1215009782 |
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Provider Enumeration Date | 2006-11-13 |
Last Updated Date | 2021-09-08 |
Provider Mailing Address Detail
Address | 9460 W Flamingo Rd |
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City | Las Vegas |
State | Nevada (NV) |
Post Code | 891475742 |
Phone Number | 7026387705 |
Fax Number | 7026387706 |
Provider's Primary Taxonomy Detail
Speciality | Geriatric Medicine |
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Taxonomy | 207Rg0300X |
Licence No | 12103 |
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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What is the unique provider identifier assigned to Roland Jayson Formoso Pua?
The Roland Jayson Formoso Pua has been issued the NPI (National Provider Identifier) 1215009782 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Roland Jayson Formoso Pua is physically located?
The Roland Jayson Formoso Pua is physically situated at the following address: 9460 W Flamingo Rd, Las Vegas, NV, 891475742.
What is Roland Jayson Formoso Pua's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Roland Jayson Formoso Pua is Geriatric Medicine, and the corresponding taxonomy classification code for this specialized field is 207Rg0300X.
On what date did the Roland Jayson Formoso Pua receive the assignment of its 1215009782 from the Centers for Medicare & Medicaid Services?
The Roland Jayson Formoso Pua was issued its 1215009782 by the Centers for Medicare & Medicaid Services on 2006-11-13.
When was the Roland Jayson Formoso Pua's information last updated?
The Roland Jayson Formoso Pua's information was last updated on 2021-09-08.