Individual
REYNALDO AGULTO SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 N TENAYA WAY STE 301, LAS VEGAS, NV 89128
(702) 240-0088
(702) 240-3049
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10532
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043212558
—
NV
Enumeration date
08/15/2005
Last updated
11/03/2022
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