Juarez, Rafael Gregory

Juarez, Rafael Gregory is an sole proprietor health care provider with primary practice located at 2440 W Horizon Ridge Pkwy Suite 100, Henderson NV 89052-2648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Juarez, Rafael Gregory can be contacted via phone (702) 564-1858.

Contact Information

Primary practice address
2440 W Horizon Ridge Pkwy Suite 100 Henderson NV 89052-2648
Fax: (702) 564-8058
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 7003 Nevada

Profile Details

NPI number 1467454058
LBN Legal business name Juarez, Rafael Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Mar 14th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467454058 NPPES
Nevada MEDICAID 002019521

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