MELCHOR SAN PEDRO


Address: 2250 E Flamingo Rd, Las Vegas, NV 89119-5170
Phone: 7027034340

MELCHOR SAN PEDRO (NPI# 1811529845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811529845
Entity Type Individual
Full Name MELCHOR SAN PEDRO
Credential APRN-C
Practice Address 2250 E Flamingo Rd
Las Vegas
NV 89119-5170
Practice Telephone 7027034340
Practice Fax Number 8779516896
Mailing Telephone 7027034340
Mailing Fax Number 8779516896
Enumeration Date 2020-02-07
Last Update Date 2020-03-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN43698 NV Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
829103 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV LICENSE 829103 01
NV LICENSE RN43698 01

Office Location

Street Address 2250 E FLAMINGO RD
City LAS VEGAS
State NV
Zip Code 89119-5170

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083671010 Amir Aftab Internal Medicine 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 2006-04-26
1184257297 J. Tyler Gubler, D.o., Pllc Family Medicine 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 2020-02-17
1669012357 Eric Wayne Frorenza-hubbard Internal Medicine 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 2020-01-09
1548815012 Neil James Drobitch Physical Therapist 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 2019-08-01
1124596978 Husameddin Elmesallati Md Pllc Internal Medicine 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 2018-11-09
1619443025 Hatim Gemil Md Pllc Internal Medicine 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 2018-10-23
1699254763 Laura Fernandez Batres Garcia Physical Therapist 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 2018-08-09
1841779048 Derek Clayton Kramer Physical Therapist 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 2018-08-08
1790264992 Tonya Dedera Occupational Therapist 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 2018-08-08
1750860284 Kondrad R Tan Occupational Therapist 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 2018-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669089298 Jennifer Chavon Cruse Technician [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 2020-09-28
1063024214 Rosa Isela Martinez Gonzalez Technician 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 2020-08-19
1720697980 Christian Scott Social Worker 4055 Spencer St #118, Las Vegas, NV 89119 2020-07-23
1245867159 Starfruit Holdings, LLC Skilled Nursing Facility 4375 S Eastern Ave, Paradise, NV 89119 2020-03-23
1215562376 Phyllis Eberechukwu Hunt Adult Companion 5160 Tamarus St Appt 17, Las Vegas, NV 89119 2020-03-10
1841832581 Legna Carrillo Adult Companion 4325 South Bruce St Appt 63, Las Vegas, NV 89119 2019-10-15
1104468339 Alma Leticia Salazar Home Health Aide Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 2019-10-09
1083260046 Araceli Rosas Vargas Technician 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 2019-08-15
1376197707 Bristure Clayton Technician Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 2019-07-24
1457904534 Carmen Laura Gonzalez Valenzuela Chore Provider 6725-1 S. Eastern Ave, Las Vegas, NV 89119 2019-07-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891396651 Alma F Talavera Nurse Practitioner 5982 Juniper Falls Ave, Las Vegas, NV 89130-2827 2020-11-06
1154922300 Reynaly Campos Nurse Practitioner 10680 Spruce Bough St, Las Vegas, NV 89183-4631 2020-11-04
1811596463 Carolina Salaberrios Nurse Practitioner 8440 W Lake Mead Blvd Ste 111, Las Vegas, NV 89128-7648 2020-10-23
1851990840 John Marius Agravio Tolentino Nurse Practitioner 3557 Winter Wren St, Las Vegas, NV 89122-3539 2020-10-21
1811596760 Emmelyn Pineda Rivas Nurse Practitioner 7852 Lovely Pine Pl, Las Vegas, NV 89143-4431 2020-10-21
1659979052 Francis Torres Nurse Practitioner 10010 Fort Pike St, Las Vegas, NV 89178-7543 2020-10-16
1144828849 Julio Arvie Mata Madarazo Jr. Nurse Practitioner 6284 Canvasback Ave, Las Vegas, NV 89122-3545 2020-10-14
1104424076 Khelsey Macaspac Nurse Practitioner 6446 Dunns River St, Las Vegas, NV 89166-8064 2020-10-13
1912505199 Angelica Villahermosa Nurse Practitioner 8115 Dancing Bull Ct, Las Vegas, NV 89139-6702 2020-10-11
1467050625 Ruby Borja Nurse Practitioner 7329 Perkins Hill St, Las Vegas, NV 89166-6505 2020-10-10
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Competitor

Search similar providers

City LAS VEGAS
Zip Code 89119

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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