Carlo Mario Vasquez in Las Vegas - Physician Assistant

Carlo Mario Vasquez - NPI 1194812438

Carlo Mario Vasquez is a Physician Assistant in Las Vegas, Nevada. Carlo Mario Vasquez practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carlo Mario Vasquez is 1194812438. The last update date is 2017-01-23.

Carlo Mario Vasquez's current location address is Po Box 15645, Las Vegas, Nevada. You can contact this provider via phone number 7028778600 and fax number 7022586152. The mailing address for Carlo Mario Vasquez is Po Box 15645, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Carlo Mario Vasquez
Address Po Box 15645, Las Vegas, Nevada
Phone Number 7028778600
Fax Number 7022586152
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1194812438
Provider Enumeration Date 2006-10-06
Last Updated Date 2017-01-23

Provider Mailing Address Detail

Address Po Box 15645
City Las Vegas
State Nevada (NV)
Post Code 891145645
Phone Number 7028778600
Fax Number 7022586152

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 633
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1194812438 NV SMA MEDICAID
V111167 NV SMA MEDICARE

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FAQs about Carlo Mario Vasquez

What is the unique provider identifier assigned to Carlo Mario Vasquez?

The Carlo Mario Vasquez has been issued the NPI (National Provider Identifier) 1194812438 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Carlo Mario Vasquez is physically located?

The Carlo Mario Vasquez is situated at the following address: Po Box 15645, Las Vegas, NV 891145645.

What is Carlo Mario Vasquez's specialized field of practice, and what is the corresponding taxonomy classification code?

The Carlo Mario Vasquez's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

When did the Carlo Mario Vasquez receive its 1194812438?

The Carlo Mario Vasquez was issued its 1194812438 on 2006-10-06, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Carlo Mario Vasquez most recently updated or revised?

The details related to Carlo Mario Vasquez, including its address, specialty, and other relevant information, were last updated or revised on 2017-01-23.

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