NPIMap

Organization Active NPI

Juanidad Corporation

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1972833440
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
JUANIDAD CORPORATION
Practice address
209 Dalmatian LN
Las Vegas, NV 89107-2304
Phone
(702) 254-8215
Fax
(702) 254-8215
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Antonio B Estanislao, M.D.
Title
President
Phone
(702) 254-8215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

209 Dalmatian LN
Las Vegas, NV 89107-2304

Mailing address

209 Dalmatian LN
Las Vegas, NV 89107-2304
Phone (702) 254-8215

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1972833440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 DALMATIAN LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072304",
            "telephone_number": "702-254-8215",
            "fax_number": "702-254-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 DALMATIAN LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072304",
            "telephone_number": "702-254-8215",
            "fax_number": "702-254-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANIDAD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "ESTANISLAO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-254-8215",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "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 Jan 6, 2010; 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.