MEDICARE: DR. EMILIO FRANCISCO A BERBERABE JR M.D.

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	207R00000X	Internal Medicine Physician		NV

Other Identifiers

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

General Provider Information

NPI Number	:	1386678555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILIO FRANCISCO A BERBERABE JR M.D.

Provider Business Mailing Address
First Line	:	3009 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1943
Country	:	US
Telephone Number	:	702-877-9511
Fax Number	:	702-877-9511

Provider Business Practice Location Address
First Line	:	3009 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1943
Country	:	US
Telephone Number	:	702-877-9511
Fax Number	:	702-877-9511

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/08/2007

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