MEDICARE: MARIO MAGANA-URIAS CPC

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	101YM0800X	Mental Health Counselor		NV
2	103K00000X	Behavior Analyst		NV

General Provider Information

NPI Number	:	1659828325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIO MAGANA-URIAS CPC

Provider Business Mailing Address
First Line	:	PO BOX 400670
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89140-0670
Country	:	US
Telephone Number	:	702-940-8007
Fax Number	:	702-832-1940

Provider Business Practice Location Address
First Line	:	2865 SIENA HEIGHTS DR STE 120
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4168
Country	:	US
Telephone Number	:	702-940-8007
Fax Number	:	702-832-1940

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

Provider Enumeration Date	:	09/09/2016
Last Update Date	:	03/17/2026

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Directions to “ MARIO MAGANA-URIAS CPC” Practice Location

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