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NPI Code Detail

MEDICARE: ROSENDO FERIA MORTERO MD, PC

MEDICARE: ROSENDO FERIA MORTERO MD, PC
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
1207L00000XAnesthesiology Physician9517NV

General Provider Information

NPI Number : 1851625222
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSENDO FERIA MORTERO MD, PC
Provider Business Mailing Address
First Line : 3087 E WARM SPRINGS
Second Line : STE 400
City : LAS VEGAS
State : NV
Zip : 89120
Country : US
Telephone Number : 702-487-6510
Fax Number : 702-405-7960
Provider Business Practice Location Address
First Line : 3087 E WARM SPRINGS RD
Second Line : STE 400
City : LAS VEGAS
State : NV
Zip : 89120-3753
Country : US
Telephone Number : 702-487-6510
Fax Number : 702-405-7960
Authorized Official
Title or Position : CEO
Name : ROSENDO F MORTERO
Credential : MD
Telephone Number : 702-487-6510
Provider Enumeration Date : 10/01/2009
Last Update Date : 11/02/2009

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