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NPI Code Detail

MEDICARE: R & G HEALTH SERVICES, INC.

MEDICARE: R & G HEALTH SERVICES, INC.
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
13336S0011XSpecialty Pharmacy
23336C0003XCommunity/Retail PharmacyPH02757NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164792115
Entity Type Code : Organization
Provider Name (Legal Business Name) : R & G HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 2080 E FLAMINGO RD STE 310
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5181
Country : US
Telephone Number : 702-697-6501
Fax Number : 702-836-2051
Provider Business Practice Location Address
First Line : 2080 E FLAMINGO RD STE 310
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5181
Country : US
Telephone Number : 702-697-6501
Fax Number : 702-836-2051
Authorized Official
Title or Position : PRESIDENT
Name : MR. EDGAR GONZALEZ
Credential :
Telephone Number : 702-697-6501
Provider Enumeration Date : 01/09/2012
Last Update Date : 09/30/2025

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Directions to “R & G HEALTH SERVICES, INC. ” Practice Location

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