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NPI Code Detail

MEDICARE: DR. JOSE MARIA PARTIDA CORONA M.D.

MEDICARE: DR. JOSE MARIA PARTIDA CORONA 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
12083A0300XAddiction Medicine (Preventive Medicine) Physician11639NV
2207R00000XInternal 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 : 1477518801
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE MARIA PARTIDA CORONA M.D.
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 04/21/2023

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