Organization Active NPI

Porferia D Montesclaros, MD, LLC

Doing business as Porferia D Montesclaros, MD

  • Geriatric Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1144266537
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
PORFERIA D MONTESCLAROS, MD, LLC
Doing business as
Porferia D Montesclaros, MD
Practice address
6450 Spring Mountain Rd
Suite 8
Las Vegas, NV 89146-8853
Phone
(702) 382-7878
Fax
(702) 248-9524
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Porferia D Montesclaros, MDNPI 1609810068
Title
Owner
Phone
(702) 243-7607

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X Primary

Addresses

Primary practice location

6450 Spring Mountain Rd
Suite 8
Las Vegas, NV 89146-8853

Mailing address

PO Box 230146
Las Vegas, NV 89105-0146
Phone (702) 382-7878

Other names 1

  • PORFERIA D MONTESCLAROS, MD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144266537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230146",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891050146",
            "telephone_number": "702-382-7878",
            "fax_number": "702-248-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 SPRING MOUNTAIN RD",
            "address_2": "SUITE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468853",
            "telephone_number": "702-382-7878",
            "fax_number": "702-248-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORFERIA D MONTESCLAROS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTESCLAROS",
        "authorized_official_first_name": "PORFERIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-243-7607",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PORFERIA D MONTESCLAROS, MD",
            "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 Aug 22, 2020; 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.