Organization
AMPARO, INC
Active
Other names
Amparo
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE PARTIDA CORONA MD (OWNER / MEDICAL DIRECTOR)
(702) 528-9828
Entity
Organization
Contact information
Practice address
2950 E FLAMINGO RD STE C, LAS VEGAS, NV 89121-5208
(702) 565-6004
(702) 566-6009
Mailing address
2950 E FLAMINGO RD STE C, LAS VEGAS, NV 89121-5208
(702) 565-6004
(702) 566-6009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
07/10/2024
Last updated
10/09/2024
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