Healthcare Provider Details

I. General information

NPI: 1396732988
Provider Name (Legal Business Name): MARIBEL E MONROE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA ISABEL ESCLAPES

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 01/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2480 PROFESSIONAL CT STE 110
LAS VEGAS NV
89128-0835
US

IV. Provider business mailing address

2480 PROFESSIONAL CT STE 110
LAS VEGAS NV
89128-0835
US

V. Phone/Fax

Practice location:
  • Phone: 702-868-9100
  • Fax: 702-868-9101
Mailing address:
  • Phone: 702-868-9100
  • Fax: 702-868-9101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number8642
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number8642
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: