Individual
DR. RAFAEL VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3150 N TENAYA WAY, STE. 320, LAS VEGAS, NV 89128-0443
(702) 240-6482
(702) 804-0957
Mailing address
700 E SILVERADO RANCH BLVD, SUITE 170, LAS VEGAS, NV 89183-7516
(702) 240-6482
(702) 804-0957
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
12207
NV
207RC0000X
Cardiovascular Disease Physician
A90757
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100512111
—
NV
Enumeration date
05/17/2006
Last updated
05/22/2013
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