Rafael Roberto Gonzalez Palomino

Primary specialty

HomemakerTaxonomy code 376J00000X

License

NV20161065817 Issued in NV

Practice address

4550 W. Oakey Blvd
Suite 111-0
Las Vegas, NV 89102

Phone

(702) 861-0238

NPI assigned

Sep 5, 2019

Sex

Male

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

State licenses

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1801445572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 S. SALEM DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073449",
            "telephone_number": "702-462-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W. OAKEY BLVD",
            "address_2": "SUITE 111-0",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-861-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ PALOMINO",
        "first_name": "RAFAEL",
        "middle_name": "ROBERTO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NV",
            "license": "NV20161065817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Gonzalez Moreira
• Deydis Gonzalez Moreno
• Jorge Manuel Gonzalez Moreno
• Ana Francisca Gonzalez Nuila
• Liseidi Gonzalez Oliva
• Maria Del Rosa Gonzalez Parra
• Katerine Daniela Gonzalez Perez
• Graciela Gonzalez Portillo
• Maria Del Socorro Gonzalez Reyes
• Blanca Esther Gonzalez Rivera

• Homemaker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Homemaker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.