NPIMap

Organization Active NPI

Aquino-Vitality Medical Group

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1326450511
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
001166 Issued in NV
Legal business name
AQUINO-VITALITY MEDICAL GROUP
Practice address
3365 E Flamingo Rd
Ste 2
Las Vegas, NV 89121-6800
Phone
(702) 457-3888
Fax
(702) 974-2199
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Ralph Aquino, APRN
Title
Owner
Phone
(702) 457-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 001166 NV Primary

Addresses

Primary practice location

3365 E Flamingo Rd
Ste 2
Las Vegas, NV 89121-6800

Mailing address

3365 E Flamingo Rd
Ste 2
Las Vegas, NV 89121-6800
Phone (702) 457-3888

National Provider Directory

National Provider Directory

Locations

3365 E Flamingo Rd
Ste 2
Las Vegas, NV 89121
Phone (702) 457-3888

Practitioners & affiliated clinicians

Practitioners 3

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": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1326450511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 E FLAMINGO RD",
            "address_2": "STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891216800",
            "telephone_number": "702-457-3888",
            "fax_number": "702-974-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 E FLAMINGO RD",
            "address_2": "STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891216800",
            "telephone_number": "702-457-3888",
            "fax_number": "702-974-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUINO-VITALITY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-457-3888",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "001166",
            "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 May 22, 2014; 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.