# ROBERTO C CHUAPOCO MD A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114056462
- **Authorized official:** DR. ROBERTO DE CASTRO CHUAPOCO JR. M.D. (PRESIDENT)
- **Authorized official phone:** (702) 501-3500

## Contact information

- **Practice address:** 908 S VALLEY VIEW BLVD, LAS VEGAS, NV 89107-4412
- **Practice address phone:** (702) 501-3500
- **Practice address fax:** (702) 988-7028
- **Mailing address:** 8608 MIRADA DEL SOL DR, LAS VEGAS, NV 89128-8206
- **Mailing address phone:** (702) 988-7028
- **Mailing address fax:** (702) 988-7028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 11482 | NV | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 08/22/2020