Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 14767 | NV |
NPI | 1205084464 |
---|---|
Provider Name | Silvana Rosa Arciniegas Rodriguez |
First Address | Las Vegas, NV 89102-2329 |
Second Address | Las Vegas, NV 89102-2329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2008 |
Last Update Date | 28/08/2013 |