Healthcare Provider Details

I. General information

NPI: 1386221968
Provider Name (Legal Business Name): IGNACIO REINA MADRID IV DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2021
Last Update Date: 03/28/2021
Certification Date: 03/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SUNSET WAY
HENDERSON NV
89014-2015
US

IV. Provider business mailing address

2029 STAR PINE WAY
SAN LEANDRO CA
94577-1362
US

V. Phone/Fax

Practice location:
  • Phone: 702-968-5222
  • Fax:
Mailing address:
  • Phone: 510-697-3924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: