NPIMap

Organization Active NPI

Carrera Professinal Services PLLC

  • Gastroenterology Physician
  • Las Vegas, NV
National Provider Identifier
1770816647
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5165 Issued in NV
Legal business name
CARRERA PROFESSINAL SERVICES PLLC
Practice address
3150 N Tenaya Way
Suite 525
Las Vegas, NV 89128-0443
Phone
(702) 220-9865
Fax
(702) 251-8196
NPI assigned
Sep 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Mr. Eladio Carrera
Title
President
Phone
(702) 862-9992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 5165 NV Primary

Addresses

Primary practice location

3150 N Tenaya Way
Suite 525
Las Vegas, NV 89128-0443

Mailing address

PO Box 34795
Las Vegas, NV 89133-4795
Phone (702) 220-9865

National Provider Directory

National Provider Directory

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": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1770816647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34795",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891334795",
            "telephone_number": "702-220-9865",
            "fax_number": "702-251-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "SUITE 525",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-220-9865",
            "fax_number": "702-251-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRERA PROFESSINAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "CARRERA",
        "authorized_official_first_name": "ELADIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-862-9992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "5165",
            "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 Apr 15, 2015; 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.