Individual
RICARDO MANUEL GARATEIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7061 GRAND MONTECITO PKWY, LAS VEGAS, NV 89149-0287
(702) 750-3800
(702) 750-3808
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14839
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902122872
SMA NV MEDICAID
NV
Enumeration date
04/15/2010
Last updated
08/07/2024
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