Organization Active NPI

Eileen Cordero Mauban MD LTD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1942201116
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EILEEN CORDERO MAUBAN MD LTD
Practice address
2225 E Flamingo Rd
Suite 103
Las Vegas, NV 89119-5125
Phone
(702) 731-1747
Fax
(702) 731-1661
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Eileen Cordero Mauban, MD
Title
President
Phone
(703) 731-1747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2225 E Flamingo Rd
Suite 103
Las Vegas, NV 89119-5125

Mailing address

2225 E Flamingo Rd
Suite 103
Las Vegas, NV 89119-5125
Phone (702) 731-1747

National Provider Directory

National Provider Directory

Locations

1640 E Flamingo Rd
Ste 200
Las Vegas, NV 89119
Phone (702) 731-1747

2225 E Flamingo Rd
Ste 103
Las Vegas, NV 89119
Phone (702) 478-4423

Practitioners & affiliated clinicians

Practitioners 1

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": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1942201116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E FLAMINGO RD",
            "address_2": "SUITE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195125",
            "telephone_number": "702-731-1747",
            "fax_number": "702-731-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E FLAMINGO RD",
            "address_2": "SUITE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195125",
            "telephone_number": "702-731-1747",
            "fax_number": "702-731-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN CORDERO MAUBAN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "CORDERO MAUBAN",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-731-1747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 May 13, 2009; 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.