Mayra Montijo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

860498 Issued in NV

Practice address

1706 W Bonanza Rd
Las Vegas, NV 89106-4704

Phone

(702) 631-6860

NPI assigned

Oct 3, 2022

Last updated

Oct 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doyne Medical Clinic Inc.

  dba Doyne Medical Clinic

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1710997291

  Family Medicine

  Medicare reassignment NPD
• DMC Medical Clinic LTD

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1699374256

  Family Medicine

  NPD
• Faith Medical Clinic, LLC.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1700485083
  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1659095735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7085 IPE WOOD RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 W BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064704",
            "telephone_number": "702-631-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIJO",
        "first_name": "MAYRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "860498",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "69268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Montiel-Ramos
• Joselyn Montiel-Suarez
• Ruben Montiel
• Shayna Montiero
• Anthony Vincent Montijo
• Ignacio Gacutan Montorio Jr.
• Leidy J Montoya Arredondo
• Joselyn Montoya-Matiano
• Anastasia Montoya
• Brian James Montoya

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.