# ROGELIO MACHUCA MD FAMILY MEDICINE, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Machuca Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023551355
- **Authorized official:** ROGELIO MACHUCA MD (OWNER)
- **Authorized official phone:** (702) 778-7614

## Contact information

- **Practice address:** 546 N EASTERN AVE STE 140, LAS VEGAS, NV 89101-3485
- **Practice address phone:** (702) 778-7614
- **Practice address fax:** (702) 778-7615
- **Mailing address:** 546 N EASTERN AVE STE 140, LAS VEGAS, NV 89101-3485
- **Mailing address phone:** (702) 778-7614
- **Mailing address fax:** (702) 778-7615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | G64-07911 | NV | Yes |

## Other

- **Enumeration date:** 11/17/2016
- **Last updated:** 03/04/2024