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General NPI Number Information
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NPI Number | 1467251397
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Entity Type | Organization
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Legal Business Name | ALONSO MEDICAL CENTER PLLC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1820 E LAKE MEAD BLVD STE M
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-7134
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Country | US
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Telephone | 702-475-4352
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Fax |
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Provider Business Mailing Address
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Address Line | 1820 E LAKE MEAD BLVD STE M
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-7134
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Country | US
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Telephone | 702-475-4352
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | OSCAR ALONSO ODUARDO
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Credential | APRN
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Telephone | 702-957-0035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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