Active NPI
Guadalupe MD PLLC
- Family Medicine Physician
- Las Vegas, NV
National Provider Identifier
1205758661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GUADALUPE MD PLLC
- Practice address
- 2361 E Bonanza Rd
Las Vegas, NV 89101-3418 - Phone
- (469) 210-3134
- NPI assigned
- Jul 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcial Andres Oquendo Rincon, MD
- Title
- Medical Director
- Phone
- (214) 317-5630
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2361 E Bonanza Rd
Las Vegas, NV 89101-3418
Mailing address
14951 Dallas Pkwy Ste 190
Dallas, TX 75254-6894
Phone (469) 210-3134
National Provider Directory
National Provider DirectoryLocations
2361 E Bonanza Rd
Las Vegas, NV 89101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1205758661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14951 DALLAS PKWY STE 190",
"city": "DALLAS",
"state": "TX",
"postal_code": "752546894",
"telephone_number": "469-210-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2361 E BONANZA RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891013418",
"telephone_number": "469-210-3134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUADALUPE MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-28",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "OQUENDO RINCON",
"authorized_official_first_name": "MARCIAL",
"authorized_official_middle_name": "ANDRES",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "214-317-5630",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.