Individual
JUAN PAOLO BORJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4490 N RANCHO DR, LAS VEGAS, NV 89130-3406
(702) 655-0550
(702) 655-0545
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
207Q00000X
Family Medicine Physician
Primary
DO3047
NV
207Q00000X
Family Medicine Physician
OS 10650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134359854
—
NV
01
—
1907
QUALITY HEALTH PLANS-49TH STREET OFFICE
FL
01
—
1908
QUALITY HEALTH PLANS-LARGO OFFICE
FL
01
—
1909
QUALITY HEALTH PLANS-PASADENA OFFIE
FL
01
—
201266825
TRICARE-ALL LOCATIONS
FL
01
—
DO3047
STATE LICENSE
NV
01
—
P112544
FREEDOM HEALTH
FL
Enumeration date
07/15/2009
Last updated
09/21/2022
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