Individual
MAJONEL ONTANILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2704 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 243-8500
(702) 242-4194
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12413
NV
207R00000X
Internal Medicine Physician
223130
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
UNITED HEALTHCARE
—
05
—
1235105313
—
NV
01
—
1919739
FIRST HEALTH
—
01
—
2091283
MEDICAID WELFARE
—
05
—
2091283
—
MA
01
—
419302
TUFTS HEALTH PLAN
—
01
—
4714498
CIGNA HEALTH PLAN
—
01
—
7398225
AETNA US HEALTHCARE
—
01
—
784170
MVP HEALTH CARE
—
01
—
91262
FALLON COMMUNITY HEALTH
—
01
—
A38033
MEDICARE B
—
01
—
AA22681
HARVARD PILGRIM
—
01
—
J28398
BLUE SHIELD INDEMNITY
—
Enumeration date
02/27/2006
Last updated
11/18/2024
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