NPIMap

Organization Active NPI

Puso, LLC

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1083987630
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PUSO, LLC
Practice address
801 S Rancho Dr Ste A2
Las Vegas, NV 89106-3870
Phone
(702) 483-3630
Fax
(800) 579-9591
NPI assigned
Feb 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Salvador Garcia Borromeo III, MDNPI 1669461919
Title
Owner
Phone
(702) 683-7876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

801 S Rancho Dr Ste A2
Las Vegas, NV 89106-3870

Mailing address

801 S Rancho Dr Ste A2
Las Vegas, NV 89106-3870
Phone (702) 483-3630

Other names 1

  • Cardiosound Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120614000659 NV Part B Supplier - Clinic/Group Practice 2062676430 Receives reassigned benefits from 9 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

4200 W Charleston Blvd
#A
Las Vegas, NV 89102
Phone (301) 646-7600

2354 E Bonanza Rd
#A
Las Vegas, NV 89101

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1083987630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE A2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063870",
            "telephone_number": "702-483-3630",
            "fax_number": "800-579-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE A2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063870",
            "telephone_number": "702-483-3630",
            "fax_number": "800-579-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUSO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "BORROMEO",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_middle_name": "GARCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-683-7876",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiosound Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiosound Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.