| NPI | 1144266537 |
|---|---|
| Doing Business As | PORFERIA D MONTESCLAROS, MD |
| Entity Type | Organization |
| Authorized Contact | PORFERIA D MONTESCLAROS Owner 702-243-7607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |