Manuel Carranza

Primary specialty

Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X

License

00095049 Issued in NV

Practice address

2950 E Flamingo Rd Ste E
Las Vegas, NV 89121-5208

Phone

(702) 423-0011

Fax

(725) 204-2859

NPI assigned

Jun 27, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prestige Ultrasound, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • N Las Vegas, NV
  • NPI 1699399576
  NPD Authorized official

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1861053076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 LACABANA BEACH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891387542",
            "telephone_number": "702-544-1261",
            "fax_number": "725-204-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E FLAMINGO RD STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215208",
            "telephone_number": "702-423-0011",
            "fax_number": "725-204-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRANZA",
        "first_name": "MANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "NV",
            "license": "00095049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mannyc@prestigeultrasound.com",
            "affiliation": "N",
            "address_1": "2950 E Flamingo Rd Ste E",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891215208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexander Carranza
• Angel M Carranza, RPT
• Coby Pedro Carranza
• Jesika Carranza
• Madelyn Carranza
• Jose Ignacio Ignacio Carrasco Asgmad
• Luis Giovanni Carrasco Tobar, MSN APRN FNP-BC
• Carissa Carrasco
• Cheryl Elizabeth Carrasco, LCSW, MSW, BA
• Heather Carrasco

• Radiologic Technologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Radiologic Technologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.