MEDICARE: JOSE H.T. AQUINO 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	207RC0000X	Cardiovascular Disease Physician	9278	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00927385	OTHER		MEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number	:	1942299284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE H.T. AQUINO M.D.

Provider Business Mailing Address
First Line	:	700 E SILVERADO RANCH BLVD
Second Line	:	SUITE 170
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7516
Country	:	US
Telephone Number	:	702-240-6482
Fax Number	:	702-240-8529

Provider Business Practice Location Address
First Line	:	3150 N TENAYA WAY
Second Line	:	STE.#320
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0443
Country	:	US
Telephone Number	:	702-240-6482
Fax Number	:	702-804-0957

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

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	10/24/2014

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Directions to “ JOSE H.T. AQUINO M.D.” Practice Location

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