Organization
GUANAROCA MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXEIS ARES-GATTORNO MBA (CEO)
(725) 400-6444
Entity
Organization
Contact information
Practice address
5130 S PECOS RD, LAS VEGAS, NV 89120-1201
(725) 205-3203
(725) 205-1861
Mailing address
68 INCLINE VILLAGE CT, HENDERSON, NV 89074-0693
(725) 400-6444
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568032548
—
NV
Enumeration date
06/30/2021
Last updated
10/13/2021
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