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NPI Code Detail

MEDICARE: CLEARPATH ANESTHESIA PLLC

MEDICARE: CLEARPATH ANESTHESIA PLLC
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
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1477494581
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEARPATH ANESTHESIA PLLC
Provider Business Mailing Address
First Line : 3324 INDIAN SHADOW ST UNIT 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-8628
Country : US
Telephone Number : 315-975-3500
Fax Number :
Provider Business Practice Location Address
First Line : 3324 INDIAN SHADOW ST UNIT 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-8628
Country : US
Telephone Number : 315-975-3500
Fax Number :
Authorized Official
Title or Position : MD
Name : NELSON RICARDO RIVEROS PEREZ
Credential : MD
Telephone Number : 315-975-3500
Provider Enumeration Date : 04/02/2026
Last Update Date : 04/09/2026

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Directions to “CLEARPATH ANESTHESIA PLLC ” Practice Location

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