Fulgencio Antuna, MD., PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FULGENCIO ANTUNA, MD., PLLC

Doing business as

Monterey Medical

Practice address

2121 E Flamingo Rd Ste 214
Las Vegas, NV 89119

Phone

(702) 333-3485

Fax

(702) 359-5122

NPI assigned

Oct 23, 2017

Organization subpart

No

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

Authorized official

Name

Fulgencio Antuna, MD

Title

Owner

Phone

(702) 333-3485

Specialties & licenses 1

Addresses

Other names 1

• Monterey Medical Doing business as

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1699286146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E FLAMINGO RD STE 214",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195124",
            "telephone_number": "702-333-3485",
            "fax_number": "702-359-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E FLAMINGO RD STE 214",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-333-3485",
            "fax_number": "702-359-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULGENCIO ANTUNA, MD., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "ANTUNA",
        "authorized_official_first_name": "FULGENCIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-333-3485",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monterey Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monterey Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Fulbright
• Pamela K Fulbrook, M.A. LMFT
• Anthony Fulco III, LCSW
• Sarah A Fulco, DC
• Gian Fule, CRNA
• Nicole Adela Fulkerson
• Michael Fulks, LAT, ATC
• Full Circle Care PLLC
• Full Circle Integrated Health Solutions LLC
• Rebecca Lee Fullard

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.