Luis G N Panuncialman M D Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

10313 Issued in NV

Legal business name

LUIS G N PANUNCIALMAN M D INC

Practice address

2911 N Tenaya Way
Suite 104
Las Vegas, NV 89128-0464

Phone

(702) 474-2460

Fax

(702) 474-7529

NPI assigned

Jan 7, 2008

Last updated

Jan 7, 2008By 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. Luis Gregorio Panuncialman, M.D.

Title

General Surgeon

Phone

(702) 474-2460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1174708325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 N TENAYA WAY",
            "address_2": "SUITE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280464",
            "telephone_number": "702-474-7246",
            "fax_number": "702-474-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 N TENAYA WAY",
            "address_2": "SUITE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280464",
            "telephone_number": "702-474-2460",
            "fax_number": "702-474-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS G N PANUNCIALMAN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "PANUNCIALMAN",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "GREGORIO",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "702-474-2460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "10313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Yuen-Ling Luh
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• Luis Carlos O Ortega
• Luis Carlos Ortega, MD
• Luis Leon Diaz MD PC
• Luis Lopez-Benitez MD LTD (Centennial Ob/Gyn)
• Luis Medina-Garcia MD PLLC
• Luis Velazquez MD PLLC (Velazquez Pain Relief Center)
• Luis Velazquez MD PLLC (Velazquez Pain Relief Center)

• Specialist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.