MEDICARE: KEYSTONE PRADO LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1841142825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEYSTONE PRADO LLC

Provider Business Mailing Address
First Line	:	7312 W CHEYENNE AVE STE 5
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7425
Country	:	US
Telephone Number	:	702-342-1248
Fax Number	:	949-864-3067

Provider Business Practice Location Address
First Line	:	7312 W CHEYENNE AVE STE 5
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7425
Country	:	US
Telephone Number	:	702-342-1248
Fax Number	:	949-864-3067

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	FLORENTINA GARCIA
Credential	:	MD
Telephone Number	:	702-342-1248

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “KEYSTONE PRADO LLC ” Practice Location

Language	Start Address	Practice Location

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