MEDICARE: MR. MOISES GOMEZ

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	163W00000X	Registered Nurse	RN47784	NV

General Provider Information

NPI Number	:	1881870855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MOISES GOMEZ

Provider Business Mailing Address
First Line	:	5610 TURKEY LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-2951
Country	:	US
Telephone Number	:	702-349-1230
Fax Number	:

Provider Business Practice Location Address
First Line	:	5610 TURKEY LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-2951
Country	:	US
Telephone Number	:	702-349-1240
Fax Number	:

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

Provider Enumeration Date	:	01/21/2008
Last Update Date	:	02/05/2025

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Directions to “ MR. MOISES GOMEZ ” Practice Location

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