Maribel San Buenaventura, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN73981 Issued in NV

Practice address

774 Tossa de Mar Ave
Henderson, NV 89002-6535

Phone

(702) 750-9259

Fax

(702) 750-9259

NPI assigned

Aug 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1720533995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 TOSSA DE MAR AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890026535",
            "telephone_number": "702-750-9259",
            "fax_number": "702-750-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 TOSSA DE MAR AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890026535",
            "telephone_number": "702-750-9259",
            "fax_number": "702-750-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN BUENAVENTURA",
        "first_name": "MARIBEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NV",
            "license": "RN73981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sammi'S Corner, LLC
• Gladys Samper Mazo
• Coressa Samuel
• James Gregory Samuel
• Amanda Samuels
• Lea Danielle San Luis, DMD
• Genesis Sanchez-Leon
• Rocio Del Carmen Sanchez-Marin
• Julieta Sanchez-Ruiz, M.D.
• Alonzo Saul Sanchez, RN

• Medical-Surgical Registered Nurse in Henderson, NV
• Providers in Henderson, NV by specialty
• Medical-Surgical Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.