Joaquim S Tavares MD PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

9087 Issued in NV

Legal business name

JOAQUIM S TAVARES MD PC

Practice address

1711 Songlight CT
Las Vegas, NV 89117-1584

Phone

(702) 380-1944

NPI assigned

Jul 19, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joaquim S Tavares, MD

Title

President

Phone

(702) 380-1944

Specialties & licenses 3

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247961600000",
    "number": "1043440514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80624",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891800624",
            "telephone_number": "702-380-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 SONGLIGHT CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171584",
            "telephone_number": "702-380-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAQUIM S TAVARES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-19",
        "last_updated": "2009-07-19",
        "status": "A",
        "authorized_official_last_name": "TAVARES",
        "authorized_official_first_name": "JOAQUIM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-380-1944",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9087",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NV",
            "license": "9087",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NV",
            "license": "9087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "9087",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JNC Tech LLC
• Jo-Nel LLC
• Victoria Jae-Eun Jo, OTD, OTR/L, M.ED
• Thomas Joachim
• Joanne Culver
• Lilia Galang Joaquin
• Maria Elena Job, CADC
• Jobe Counseling Services LLC
• Brian Jobe, A.S.
• Megan Mae Jobe, PA-C

• Pulmonary Disease Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pulmonary Disease Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.