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MUJICA TRENCHE - VITALITY MD PC NPI 1720355621


NPI Information

NPI: 1720355621
Provider Name: MUJICA TRENCHE - VITALITY MD PC

Doing Business As: STOCKRIDGE MEN'S MEDCENTER

Classification: Urology - 208800000X
Entity Type: Organization
Address:
6380 W FLAMINGO RD
STE A
LAS VEGAS, NV
ZIP 89103
Phone: (702) 888-0052
Get Directions

MUJICA TRENCHE - VITALITY MD PC is an urology in Las Vegas, NV. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MUJICA TRENCHE - VITALITY MD PC NPI is 1720355621. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Stockridge Men's Medcenter.

The provider's business location address is:

6380 W FLAMINGO RD
STE A
LAS VEGAS, NV
ZIP 89103-129
Phone: (702) 888-0052

The provider's authorized official is Samuel A Mujica Trenche .
The authorized official title is Sole Member and has the following contact phone number (702) 888-0052.

The enumeration date for this NPI number is 11/19/2011 and was last updated on 3/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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