Healthcare Provider Details

I. General information

NPI: 1841439080
Provider Name (Legal Business Name): ROSE E PAIVA M D LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6542 S MCCARRAN BLVD STE B
RENO NV
89509-6142
US

IV. Provider business mailing address

6542 S MCCARRAN BLVD STE B
RENO NV
89509-6142
US

V. Phone/Fax

Practice location:
  • Phone: 775-329-3484
  • Fax: 775-329-5362
Mailing address:
  • Phone: 775-329-3484
  • Fax: 775-329-5362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROSE E PAIVA
Title or Position: PHYSICIAN
Credential: MD
Phone: 775-329-3484