Theresa M Vergara in Las Vegas - Pediatric Critical Care Medicine
Theresa M Vergara - NPI 1780677690
Theresa M Vergara is a Pediatric Critical Care Medicine in Las Vegas, Nevada. Theresa M Vergara practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Theresa M Vergara is 1780677690. The last update date is 2007-07-08.
Theresa M Vergara's current location address is 3186 S Maryland Pkwy, Las Vegas, Nevada. You can contact this provider via phone number 8883502911 and fax number 7023695827. The mailing address for Theresa M Vergara is 3186 S Maryland Pkwy, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa M Vergara |
|---|---|
| Address | 3186 S Maryland Pkwy, Las Vegas, Nevada |
| Phone Number | 8883502911 |
| Fax Number | 7023695827 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780677690 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3186 S Maryland Pkwy |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891092317 |
| Phone Number | 8883502911 |
| Fax Number | 7023695827 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 9171 |
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Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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What is the unique identifier code issued to Theresa M Vergara by the Centers for Medicare & Medicaid Services?
The Theresa M Vergara has been assigned the NPI (National Provider Identifier) 1780677690. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Theresa M Vergara?
The Theresa M Vergara is situated at 3186 S Maryland Pkwy, in the city of Las Vegas, state of NV, with the zip code 891092317.
What is Theresa M Vergara's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Theresa M Vergara is Pediatric Critical Care Medicine, and the taxonomy code that classifies this field of practice is 2080P0203X.
On what date did the Theresa M Vergara receive the assignment of its 1780677690 from the Centers for Medicare & Medicaid Services?
The Theresa M Vergara was issued its 1780677690 by the Centers for Medicare & Medicaid Services on 2005-08-25.
When was the information pertaining to Theresa M Vergara most recently updated or revised?
The details related to Theresa M Vergara, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.