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Contact Information

ANTONIO SERRU PAEZ MD PROFESSIONAL CORPORATION
4424 S EASTERN AVE
LAS VEGAS, NV89119-7825
 Phone: 702-732-7440
 Fax: 702-732-9672
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANTONIO SERRU PAEZ MD PROFESSIONAL CORPORATION

NPI # 1992090310
LBN Legal business name ANTONIO SERRU PAEZ MD PROFESSIONAL CORPORATION
Authorized official ANTONIO SERRU PAEZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2011
Last updated 04/07/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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