MEDICARE: DR. LUCIA MIRELES-CHAVEZ M.D.

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
1	208000000X	Pediatrics Physician	A71537	CA
2	208000000X	Pediatrics Physician	23017	NV

General Provider Information

NPI Number	:	1457322067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUCIA MIRELES-CHAVEZ M.D.

Provider Business Mailing Address
First Line	:	851 S RAMPART BLVD STE 220
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-4887
Country	:	US
Telephone Number	:	702-577-3174
Fax Number	:

Provider Business Practice Location Address
First Line	:	851 S RAMPART BLVD STE 220
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-4887
Country	:	US
Telephone Number	:	702-577-3174
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	03/24/2026

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Directions to “ DR. LUCIA MIRELES-CHAVEZ M.D.” Practice Location

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