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NPI Code Detail

MEDICARE: DR. ROBERTO MOLINA MARTINEZ MD

MEDICARE: DR. ROBERTO MOLINA MARTINEZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician07734RLA
22085R0202XDiagnostic Radiology Physician11994NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31885342OTHERECFMG

General Provider Information

NPI Number : 1346245362
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERTO MOLINA MARTINEZ MD
Provider Business Mailing Address
First Line : 2020 PALOMINO LN STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4894
Country : US
Telephone Number : 702-759-8600
Fax Number : 702-384-1815
Provider Business Practice Location Address
First Line : 2020 PALOMINO LN STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4894
Country : US
Telephone Number : 702-759-8600
Fax Number : 702-384-1815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/01/2022

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1083670863 — DR. PAUL BANDT M.D.
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2020 PALOMINO LN , SUITE 100
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1538127568 — DR. DINA ROBIN GABAEFF MD
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1548218464 — DR. TODD A STEINBERG M.D.
Practice Location Address:
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Directions to “ DR. ROBERTO MOLINA MARTINEZ MD” Practice Location

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