Healthcare Provider Details
I. General information
NPI: 1164792115
Provider Name (Legal Business Name): R & G HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2012
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2080 E FLAMINGO RD STE 310
LAS VEGAS NV
89119-5181
US
IV. Provider business mailing address
2080 E FLAMINGO RD STE 310
LAS VEGAS NV
89119-5181
US
V. Phone/Fax
- Phone: 702-697-6501
- Fax: 702-836-2051
- Phone: 702-697-6501
- Fax: 702-836-2051
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PH02757 |
| License Number State | NV |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
EDGAR
GONZALEZ
Title or Position: PRESIDENT
Credential:
Phone: 702-697-6501