MEDICARE: DR. EVELYN DELROSARIO MD

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	208000000X	Pediatrics Physician	4301054643	MI
2	208000000X	Pediatrics Physician	15516	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609988922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVELYN DELROSARIO MD

Provider Business Mailing Address
First Line	:	8352 W WARM SPRINGS RD STE 210
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3630
Country	:	US
Telephone Number	:	702-944-4028
Fax Number	:	702-944-4019

Provider Business Practice Location Address
First Line	:	8352 W WARM SPRINGS RD STE 210
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3630
Country	:	US
Telephone Number	:	702-944-4028
Fax Number	:	702-944-4019

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/10/2019

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Directions to “ DR. EVELYN DELROSARIO MD” Practice Location

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