MEDICARE: MRS. ROSE ELIZABETH PAIVA 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	207Q00000X	Family Medicine Physician	9005	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1174708879	OTHER	NV	NPI

General Provider Information

NPI Number	:	1902839475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROSE ELIZABETH PAIVA M.D.

Provider Business Mailing Address
First Line	:	6542 S MCCARRAN BLVD
Second Line	:	SUITE B
City	:	RENO
State	:	NV
Zip	:	89509-6167
Country	:	US
Telephone Number	:	775-329-3484
Fax Number	:	775-329-5362

Provider Business Practice Location Address
First Line	:	6542 S MCCARRAN BLVD STE B
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-6142
Country	:	US
Telephone Number	:	775-329-3484
Fax Number	:	775-329-5362

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

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	04/16/2012

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Directions to “ MRS. ROSE ELIZABETH PAIVA M.D.” Practice Location

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