Organization
ENRIQUE JOSE. LACAYO, M.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE JOSE LACAYO M.D. (PRESIDENT/OWNER)
(702) 382-6970
Entity
Organization
Contact information
Practice address
2010 GOLDRING AVE, SUITE 302, LAS VEGAS, NV 89106-4002
(702) 382-6970
(702) 382-9493
Mailing address
2010 GOLDRING AVE, SUITE 302, LAS VEGAS, NV 89106-4002
(702) 382-6970
(702) 382-9493
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
3199
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002214
—
NV
01
—
102134004
RAILROAD MEDICARE
—
01
—
2499444
GHI
—
01
—
25647
BLUE CROSS
NV
01
—
275
NEVADA CARE
NV
01
—
89707
HEALTH PARTNERS
—
Enumeration date
09/23/2011
Last updated
10/03/2011
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