Active NPI
Aaron Joseph Cabredo Puertollano, MD
- Emergency Medicine Physician
- Las Vegas, NV
National Provider Identifier
1740982461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 29255
- Practice address
- 3186 S Maryland Pkwy
Las Vegas, NV 89109-2306 - Phone
- (702) 880-2100
- NPI assigned
- Mar 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 29255 | NV | Primary |
Addresses
Primary practice location
3186 S Maryland Pkwy
Las Vegas, NV 89109-2306
Mailing address
4637 Chabot Dr Ste 104
Pleasanton, CA 94588-2749
Phone (865) 500-1823
Other practice location 1
8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 355-9180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230709000090 | FL | Order and Referring Only - Emergency Medicine | 4082073051 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Doctor of Medicine, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29255 | NV | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1740982461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4637 CHABOT DR STE 104",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945882749",
"telephone_number": "865-500-1823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3186 S MARYLAND PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092306",
"telephone_number": "702-880-2100"
}
],
"practiceLocations": [
{
"address_1": "8201 W Broward Blvd",
"address_purpose": "LOCATION",
"city": "Plantation",
"state": "FL",
"postal_code": "333242701",
"country_code": "US",
"telephone_number": "954-355-9180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUERTOLLANO",
"first_name": "AARON JOSEPH",
"middle_name": "CABREDO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-17",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "29255",
"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 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.