MEDICARE: DR DANILO DUENAS MD PC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1205641636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR DANILO DUENAS MD PC

Provider Business Mailing Address
First Line	:	PO BOX 36656
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-6656
Country	:	US
Telephone Number	:	702-882-7143
Fax Number	:	725-780-4339

Provider Business Practice Location Address
First Line	:	7373 PEAK DR STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-9004
Country	:	US
Telephone Number	:	725-780-4351
Fax Number	:	725-780-4339

Authorized Official
Title or Position	:	OWNER
Name	:	DANILO DUENAS
Credential	:	MD
Telephone Number	:	725-780-4351

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	04/04/2025

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