PORFERIA D MONTESCLAROS, MD, LLC (NPI# 1144266537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144266537 |
| Entity Type | Organization |
| Organization Name | PORFERIA D MONTESCLAROS, MD, LLC |
| Other Organization Name | PORFERIA D MONTESCLAROS, MD |
| Practice Address |
6450 Spring Mountain Rd Suite 8 Las Vegas NV 89146-8853 |
| Mailing Address |
Po Box 230146 Las Vegas NV 89105-0146 |
| Practice Telephone | 7023827878 |
| Practice Fax Number | 7022489524 |
| Mailing Telephone | 7023827878 |
| Mailing Fax Number | 7022489524 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PORFERIA D MONTESCLAROS (OWNER) |
| Authorized Official Telephone | 7022437607 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PORFERIA D MONTESCLAROS, MD | Doing Business As Name - Organization |
| Street Address |
6450 SPRING MOUNTAIN RD SUITE 8 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-8853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609810068 | Porferia D Montesclaros | Psychiatry & Neurology | 6450 Spring Mountain Rd, Suite 8, Las Vegas, NV 89146-8853 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831296904 | Luis Carlos Ortega | Psychiatry & Neurology | 1604 Bearden Dr, Las Vegas, NV 89106-4110 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588633143 | Abdollah Assad | Psychiatry & Neurology | 628 N Lake St, Reno, NV 89501-1020 | 2006-03-16 |
| 1619213998 | Kevin Bernstein Md LLC | Psychiatry & Neurology | 2031 Mcdaniel St Ste 170, North Las Vegas, NV 89030-6325 | 2012-12-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.