Organization
JUAN CARLOS MARTINEZ-MORENO MD PC
Active
Other names
Nevada Muscle and Nerve
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS MARTINEZ-MORENO M.D. (PRESIDENT)
(702) 826-2816
Entity
Organization
Contact information
Practice address
3017 W CHARLESTON BLVD, SUITE 90, LAS VEGAS, NV 89102-1941
(702) 826-2816
(702) 826-2813
Mailing address
3017 W CHARLESTON BLVD, SUITE 90, LAS VEGAS, NV 89102-1941
(702) 826-2816
(702) 826-2813
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NV
332900000X
Non-Pharmacy Dispensing Site
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114118676
—
NV
Enumeration date
11/12/2014
Last updated
06/11/2015
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