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NPI Code Detail

MEDICARE: JOSE MARIA PARTIDA CORONA MD PC

MEDICARE: JOSE MARIA PARTIDA CORONA 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
1207R00000XInternal Medicine Physician11639NV

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 : 1417112970
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSE MARIA PARTIDA CORONA MD PC
Provider Business Mailing Address
First Line : 2950 E FLAMINGO RD
Second Line : SUITE E
City : LAS VEGAS
State : NV
Zip : 89121-5208
Country : US
Telephone Number : 702-565-6004
Fax Number : 702-566-6009
Provider Business Practice Location Address
First Line : 2950 E FLAMINGO RD
Second Line : SUITE E
City : LAS VEGAS
State : NV
Zip : 89121-5208
Country : US
Telephone Number : 702-565-6004
Fax Number : 702-566-6009
Authorized Official
Title or Position : PRESIDENT
Name : JOSE MARIA PARTIDA CORONA
Credential : MD
Telephone Number : 702-565-6004
Provider Enumeration Date : 07/24/2008
Last Update Date : 03/31/2016

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