Redentor Bacani is a Medical in Las Vegas, Nevada. Redentor Bacani practices all healthcare services and medical treatments related to Medical. The NPI Number for Redentor Bacani is 1487725693. The last update date is 2014-02-18.
Redentor Bacani's current location address is 4475 S Eastern Ave, Las Vegas, Nevada. You can contact this provider via phone number 7027371880 and fax number 7026505729. The mailing address for Redentor Bacani is 4475 S Eastern Ave, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Redentor Bacani |
|---|---|
| Address | 4475 S Eastern Ave, Las Vegas, Nevada |
| Phone Number | 7027371880 |
| Fax Number | 7026505729 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1487725693 |
|---|---|
| Provider Enumeration Date | 2006-11-10 |
| Last Updated Date | 2014-02-18 |
Provider Mailing Address Detail
| Address | 4475 S Eastern Ave |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891197826 |
| Phone Number | 7027371880 |
| Fax Number | 7026505729 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 814 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01257618 | NV | RAILROAD MEDICARE | |
| 1487725693 | NV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Redentor Bacani by the Centers for Medicare & Medicaid Services?
The Redentor Bacani has been assigned the NPI (National Provider Identifier) 1487725693. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Redentor Bacani is located?
The Redentor Bacani is situated at the following address: 4475 S Eastern Ave, Las Vegas, NV, 891197826.
What is Redentor Bacani's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Redentor Bacani is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Redentor Bacani receive the assignment of its 1487725693 from the Centers for Medicare & Medicaid Services?
The Redentor Bacani was issued its 1487725693 by the Centers for Medicare & Medicaid Services on 2006-11-10.
As of what date were the details related to Redentor Bacani most recently updated or revised?
The information pertaining to Redentor Bacani, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-18.