Organization
JOSE F TORREBLANCA DO PC
Active
Other names
SAN MARTIN de PORRES MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE F TORREBLANCA DO (PRESIDENT)
(702) 734-7566
Entity
Organization
Contact information
Practice address
1611 E CHARLESTON BLVD STE 3, LAS VEGAS, NV 89104-1859
(702) 734-7566
(702) 880-5777
Mailing address
1611 E CHARLESTON BLVD STE 3, LAS VEGAS, NV 89104-1859
(702) 734-7566
(702) 880-5777
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100513362
—
NV
Enumeration date
10/19/2007
Last updated
04/21/2008
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