Healthcare Provider Details

I. General information

NPI: 1518053586
Provider Name (Legal Business Name): JOSE ALFARO ALWAYS BETTER MEDICAL SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 08/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3065 N RANCHO DR SUITE 154
LAS VEGAS NV
89130-3352
US

IV. Provider business mailing address

3065 N RANCHO DR SUITE 154
LAS VEGAS NV
89130-3352
US

V. Phone/Fax

Practice location:
  • Phone: 702-567-9990
  • Fax: 702-453-9993
Mailing address:
  • Phone: 702-567-9990
  • Fax: 702-453-9993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number1005529507
License Number StateNV

VIII. Authorized Official

Name: MR. JOSE ALFARO
Title or Position: PRESIDENT-OWNER
Credential:
Phone: 702-567-9990