Organization
SAN CARLOS COMPANY INC.
Active
Other names
San Carlos Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS R. ANAYA M.D. (PRESIDENT)
(702) 320-7930
Entity
Organization
Contact information
Practice address
2400 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2179
(702) 320-7930
(702) 320-7932
Mailing address
2400 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2179
(702) 320-7930
(702) 320-7932
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9391
NV
Other
Enumeration date
11/01/2006
Last updated
04/25/2013
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