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NPI Code Detail

MEDICARE: CAROLE MAJAL Y VILLAMARIA M.D.

MEDICARE: CAROLE MAJAL Y VILLAMARIA 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
1208200000XPlastic Surgery Physician01068189AIN
2208200000XPlastic Surgery Physician19441NV

General Provider Information

NPI Number : 1841466828
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLE MAJAL Y VILLAMARIA M.D.
Provider Business Mailing Address
First Line : 3016 W CHARLESTON BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1973
Country : US
Telephone Number : 702-218-0915
Fax Number :
Provider Business Practice Location Address
First Line : 1707 W CHARLESTON BLVD STE 160
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2354
Country : US
Telephone Number : 702-671-5150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2008
Last Update Date : 02/22/2021

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