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1194669069

NPI Code Detail

MEDICARE: MR. VICTORINO FARRALES

MEDICARE: MR. VICTORINO FARRALES

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	374700000X	Technician		NV

General Provider Information

NPI Number	:	1194669069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VICTORINO FARRALES

Provider Business Mailing Address
First Line	:	855 E TWAIN AVE STE 105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-0820
Country	:	US
Telephone Number	:	702-333-2887
Fax Number	:	866-487-5335

Provider Business Practice Location Address
First Line	:	855 E TWAIN AVE STE 105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-0820
Country	:	US
Telephone Number	:	702-333-2887
Fax Number	:	866-487-5335

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

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ MR. VICTORINO FARRALES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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