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NPI Code Detail

MEDICARE: VIRTUDES GONZALES

MEDICARE: VIRTUDES GONZALES
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
1163W00000XRegistered NurseRN28742NV

General Provider Information

NPI Number : 1962833293
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRTUDES GONZALES
Provider Business Mailing Address
First Line : 3963 SHIMMERING PLAINS ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-4822
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 330 S VALLEY VIEW BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-4361
Country : US
Telephone Number : 702-759-0786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2013
Last Update Date : 12/12/2013

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Directions to “ VIRTUDES GONZALES ” Practice Location

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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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