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NPI Code Detail

MEDICARE: RONNIE MALALAY BORDADOR

MEDICARE: RONNIE MALALAY BORDADOR
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
1363L00000XNurse Practitioner814347NV
2363LA2100XAcute Care Nurse Practitioner814347NV

General Provider Information

NPI Number : 1659840270
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONNIE MALALAY BORDADOR
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4001 S DECATUR BLVD STE 25
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-5857
Country : US
Telephone Number : 725-224-6967
Fax Number : 833-749-0357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2018
Last Update Date : 03/04/2026

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Directions to “ RONNIE MALALAY BORDADOR ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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