Individual
DR. CARLOS ESPINA EZPELETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
61 N. NELLIS BLVD., LAS VEGAS, NV 89110
(702) 383-6250
(702) 459-8497
Mailing address
1800 W. CHARLESTON BLVD. STE. 508, LAS VEGAS, NV 89102
(702) 383-2688
(702) 671-6595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6958
NV
207R00000X
Internal Medicine Physician
M3534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006127113
BCBS OF ILLINOIS
IL
05
—
036084623
—
IL
01
—
110059773
RAILROAD MEDICARE
IL
05
—
200140601
—
TX
Enumeration date
07/27/2005
Last updated
10/24/2018
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