# JUAN CARLOS MARTINEZ-MORENO MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nevada Muscle and Nerve
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962808303
- **Authorized official:** DR. JUAN CARLOS MARTINEZ-MORENO M.D. (PRESIDENT)
- **Authorized official phone:** (702) 826-2816

## Contact information

- **Practice address:** 3017 W CHARLESTON BLVD, SUITE 90, LAS VEGAS, NV 89102-1941
- **Practice address phone:** (702) 826-2816
- **Practice address fax:** (702) 826-2813
- **Mailing address:** 3017 W CHARLESTON BLVD, SUITE 90, LAS VEGAS, NV 89102-1941
- **Mailing address phone:** (702) 826-2816
- **Mailing address fax:** (702) 826-2813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NV | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | — | NV | — |

## Other

- **Enumeration date:** 11/12/2014
- **Last updated:** 06/11/2015