Individual
MARIO FERNANDO TARQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3111 S MARYLAND PKWY, SUITE 200, LAS VEGAS, NV 89109-2303
(702) 968-6259
(702) 987-3219
Mailing address
3111 S MARYLAND PKWY STE 200, LAS VEGAS, NV 89109-2319
(702) 968-6259
(702) 987-3219
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11543
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500024
—
NV
05
—
100507087
—
NV
01
—
CN3300
RAILROAD MEDICARE
NV
Enumeration date
07/29/2005
Last updated
03/25/2026
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