MEDICARE: DR. NERI MARIA BLANCO-CUEVAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	10819	NV

General Provider Information

NPI Number	:	1023085982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NERI MARIA BLANCO-CUEVAS MD

Provider Business Mailing Address
First Line	:	4441 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7826
Country	:	US
Telephone Number	:	702-240-6374
Fax Number	:	702-453-6374

Provider Business Practice Location Address
First Line	:	4441 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7826
Country	:	US
Telephone Number	:	702-240-6374
Fax Number	:	702-453-6374

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	07/12/2019

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