NPI 1770816647 · live from the CMS NPI Registry
Carrera Professinal Services PLLC
Internal Medicine, Gastroenterology in Las Vegas, NV. National Provider Identifier 1770816647, active.
NPI record
| NPI | 1770816647 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 3150 N Tenaya Way, Suite 525, Las Vegas, NV 89128 |
| Practice phone | 702-220-9865 |
| Mailing address | Po Box 34795, Las Vegas, NV 89133 |
| Enumerated | September 10, 2009 |
| Last updated | April 15, 2015 |
| Authorized official | Eladio Carrera, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 5165 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.