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NPI Code Detail

MEDICARE: DR. CARLOS PEREZ-COSIO M.D.

MEDICARE:  DR. CARLOS  PEREZ-COSIO  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
1207V00000XObstetrics & Gynecology Physician13261NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113261OTHERNVNV MEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3R3179OTHERTXTX MEDICAL LICENSE

General Provider Information

NPI Number : 1396991113
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS PEREZ-COSIO M.D.
Provider Business Mailing Address
First Line : 8906 SPANISH RIDGE AVE
Second Line : STE. 202
City : LAS VEGAS
State : NV
Zip : 89148-1304
Country : US
Telephone Number : 702-577-1622
Fax Number : 702-912-4994
Provider Business Practice Location Address
First Line : 1950 PINTO LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4017
Country : US
Telephone Number : 702-438-2229
Fax Number : 702-385-0982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2008
Last Update Date : 09/19/2024

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Directions to “ DR. CARLOS PEREZ-COSIO M.D.” Practice Location

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