Individual
ROSALY MARIE DIAZ TORRUELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2801 W CHARLESTON BLVD STE 200, LAS VEGAS, NV 89102-1965
(702) 659-9180
Mailing address
2801 W CHARLESTON BLVD STE 200, LAS VEGAS, NV 89102-1965
(787) 550-9188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17070
NV
207R00000X
Internal Medicine Physician
17739
PR
208M00000X
Hospitalist Physician
17739
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114340858
—
NV
01
—
V50700
SMA MEDICARE
NV
Enumeration date
01/31/2014
Last updated
11/22/2022
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