Enrique Jose. Lacayo, M.D., LTD.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

3199 Issued in NV

Legal business name

ENRIQUE JOSE. LACAYO, M.D., LTD.

Practice address

2010 Goldring Ave
Suite 302
Las Vegas, NV 89106-4002

Phone

(702) 382-6970

Fax

(702) 382-9493

NPI assigned

Sep 23, 2011

Last updated

Oct 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Enrique Jose Lacayo, M.D.NPI 1114958683

Title

President/Owner

Phone

(702) 382-6970

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Enrique J Lacayo, MD

  • Gastroenterology Physician
  • Las Vegas, NV
  • NPI 1114958683
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1043593296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 GOLDRING AVE",
            "address_2": "SUITE 302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064002",
            "telephone_number": "702-382-6970",
            "fax_number": "702-382-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 GOLDRING AVE",
            "address_2": "SUITE 302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064002",
            "telephone_number": "702-382-6970",
            "fax_number": "702-382-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE JOSE. LACAYO, M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "LACAYO",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "702-382-6970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "3199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enrich Motion Physical Therapy and Wellness PLLC
• Enrichment Center LLC
• Enrichment LTD. (Enrich)
• Enrichminds Behavioral Health LLC
• Amy Enright
• Liliam Enriquez Betancourt
• Esniel Enriquez Echevarria
• Francia Velasco Enriquez-Boyd
• Carmen Catherine Lintag Enriquez
• Derik Enriquez

• Gastroenterology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Gastroenterology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.