Individual provider Active NPI

Alexeis Ares-Gattorno, MBA

  • Contractor
  • Las Vegas, NV
National Provider Identifier
1992467815
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
5130 S Pecos Rd Unit 1A1
Las Vegas, NV 89120-1201
Phone
(725) 205-3203
Fax
(725) 205-1861
NPI assigned
Oct 7, 2021
Last updated
Oct 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Primary

Addresses

Primary practice location

5130 S Pecos Rd Unit 1A1
Las Vegas, NV 89120-1201

Mailing address

68 Incline Village CT
Henderson, NV 89074-0693
Phone (725) 400-6444

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ECLINICALWORK Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Guanaroca Medical Center Inc CurrentSince Oct 10, 2021 Accepting new patients

Locations

5130 S Pecos Rd
Unit 1A1
Las Vegas, NV 89120
Phone (725) 205-3203

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1992467815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 INCLINE VILLAGE CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890740693",
            "telephone_number": "725-400-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 S PECOS RD UNIT 1A1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201201",
            "telephone_number": "725-205-3203",
            "fax_number": "725-205-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARES-GATTORNO",
        "first_name": "ALEXEIS",
        "credential": "MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ECLINICALWORK",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5130 S Pecos Rd Unit 1A1",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891201201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 7, 2021; 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.