Rico Fontillas Inc in Henderson - Child & Adolescent Psychiatry
Rico Fontillas Inc - NPI 1043424443
Rico Fontillas Inc is a Child & Adolescent Psychiatry in Henderson, Nevada. Rico Fontillas Inc practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Rico Fontillas Inc is 1043424443. The last update date is 2007-11-30.
Rico Fontillas Inc's current location address is 1090 Wigwam Parkway, Henderson, Nevada. You can contact this provider via phone number 7024540201 and fax number 7024541245. The mailing address for Rico Fontillas Inc is 1090 Wigwam Parkway, Henderson, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rico Fontillas Inc |
|---|---|
| Address | 1090 Wigwam Parkway, Henderson, Nevada |
| Phone Number | 7024540201 |
| Fax Number | 7024541245 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fontillas Rico |
| Credentials | MD |
| Telephone Number | 7024540201 |
NPI Number Detail
| NPI Number | 1043424443 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-11-30 |
Provider Mailing Address Detail
| Address | 1090 Wigwam Parkway |
|---|---|
| City | Henderson |
| State | Nevada (NV) |
| Post Code | 89074 |
| Phone Number | 7024540201 |
| Fax Number | 7024541245 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 6501 |
|
Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2019612 | NV | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Rico Fontillas Inc?
The Rico Fontillas Inc has been issued the NPI (National Provider Identifier) 1043424443 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Rico Fontillas Inc's facilities are situated?
The facilities of Rico Fontillas Inc are physically located at the following address: 1090 Wigwam Parkway, Henderson, NV, 89074.
What is Rico Fontillas Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Rico Fontillas Inc is Child & Adolescent Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0804X.
On what date did the Rico Fontillas Inc receive its 1043424443 assignment from the Centers for Medicare & Medicaid Services?
The Rico Fontillas Inc was assigned its 1043424443 by the Centers for Medicare & Medicaid Services on 2007-05-09.
When was the information pertaining to Rico Fontillas Inc most recently updated or revised?
The details related to Rico Fontillas Inc, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-30.