Individual
PORFERIA D MONTESCLAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11575
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508563
—
NV
Enumeration date
06/16/2006
Last updated
08/22/2023
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