BERALDO A VAZQUEZ CORREA


Address: 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183-7950
Phone: (702) 492-7208

BERALDO A VAZQUEZ CORREA (NPI# 1417901901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417901901
Entity Type Individual
Full Name BERALDO A VAZQUEZ CORREA
Other Name BERALDO A VAZQUEZ
Credential MD
Practice Address 9975 S Eastern Ave Ste 110
Las Vegas
NV 89183-7950
Mailing Address 2480 W Horizon Ridge Pkwy
Henderson
NV 89052
Practice Telephone (702) 492-7208
Practice Fax Number 7026160657
Mailing Telephone 7024927208
Mailing Fax Number 7026160657
Enumeration Date 2006-05-20
Last Update Date 2020-01-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 5720 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV 1417901901 05

Office Location

Street Address 9975 S EASTERN AVE STE 110
City LAS VEGAS
State NV
Zip Code 89183-7950

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588646830 Craig M Jorgenson Internal Medicine 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183-7950 2005-11-14
1881199800 Jorgenson & Koka LLP Non-Pharmacy Dispensing Site 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183-7950 2018-03-30
1013278316 Manpreet Sran Student in an Organized Health Care Education/Training Program 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183-7950 2012-06-04
1275798563 Jorgenson & Koka LLP Internal Medicine 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183-7950 2008-07-25
1831261460 Craig M Jorgenson Md Ltd Family Medicine 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183-7950 2006-11-15
1013088327 Timothy R Knauff Physician Assistant 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183-7950 2006-11-10
1700869054 Lauren V Abela Physician Assistant 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183-7950 2005-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720643067 Karimzada Silverado Ranch Dentistry, PC Dentist 45 E. Silverado Ranch Blvd, Suite 100, Las Vegas, NV 89183 2019-05-02
1396247854 Brian Timothy Budd Home Health Aide 10115 Jefres St, Las Vegas, NV 89183 2018-03-01
1891206983 Gina Balgoyen Registered Nurse 2350 Ione Rd, Las Vegas, NV 89183 2017-10-17
1538552815 Nganha Cheung Clinic/Center 8455 S. Eastern Avenue, Las Vegas, NV 89183 2015-03-11
1467878892 Steve Sanson Jr. Rehabilitation Practitioner 340 Welsh Mist Ct, Las Vegas, NV 89183 2014-03-10
1235401829 Edward D Lewis Jr. Behavioral Analyst 10000 S Maryland Parkway #2167, Las Vegas, NV 89183 2012-01-30
1841575248 Fabrienne Alicia Bowman Behavioral Analyst 10143 Climbing Lily St, Las Vegas, NV 89183 2011-10-17
1447538285 Thuytien Tran Mai Optometrist 9770 S Maryland Pkwy Ste 10, Las Vegas, NV 89183 2011-07-27
1932356870 Elevation Physical Therapy and Sports and Rehabilitation, LLC Home Health 10245 S Maryland Pkwy 153, Las Vegas, NV 89183 2008-08-22
1902902539 Bruce C Koelliker Chiropractor 9775 S Maryland Pkwy, Ste A, Las Vegas, NV 89183 2006-09-14
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578162848 Desert Teleheart Inc Internal Medicine 12384 Middle Creek St, Las Vegas, NV 89138 2020-10-19
1962018531 Sanaz Siran Md Pllc Internal Medicine 2893 Red Springs Dr, Las Vegas, NV 89135-1514 2020-09-19
1215546932 5 Star Medical Health Services LLC Internal Medicine 1363 W Owens Ave, Las Vegas, NV 89106-2432 2020-07-28
1376160291 Qazi, Ribeiro, and Shah Pllc Internal Medicine 1925 Village Center Cir Ste 150, Las Vegas, NV 89134-6261 2020-06-26
1639791791 Spring Mountain Medical Center Pllc Internal Medicine 4276 Spring Mountain Rd Unit 211, Las Vegas, NV 89102-8781 2020-05-12
1720609555 Alia Parveen Inc Internal Medicine 337 Rezzo St, Las Vegas, NV 89138-4624 2020-05-04
1225658982 Ejo Mannaparambil John Md Pllc Internal Medicine 3217 Grayson Lake Ct, Las Vegas, NV 89129-6614 2020-04-23
1780203869 Curry Pllc Internal Medicine 8535 Edna Ave, Las Vegas, NV 89117-4413 2020-04-09
1073142980 Fajar Corp LLC Internal Medicine 2991 Raywood Ash Dr, Las Vegas, NV 89138-6143 2020-04-02
1912534348 Garrison Medical Consultants Pllc Internal Medicine 6852 Sumatra St, Las Vegas, NV 89166-7001 2020-03-25
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City LAS VEGAS
Zip Code 89183

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Dataset Information

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.

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