GUADALUPE MD PLLC NPI 1205758661

NPI Information

  • NPI: 1205758661
  • Provider Name: GUADALUPE MD PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 2361 E BONANZA RD
    LAS VEGAS, NV
    ZIP 89101
  • Phone: (469) 210-3134

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NPI Details

GUADALUPE MD PLLC is a family medicine in Las Vegas, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GUADALUPE MD PLLC NPI is 1205758661. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2361 E BONANZA RD
LAS VEGAS, NV
ZIP 89101-418
Phone: (469) 210-3134

The provider's authorized official is Marcial Andres Oquendo Rincon .
The authorized official title is Medical Director and has the following contact phone number (214) 317-5630.

The enumeration date for this NPI number is 7/28/2026 and was last updated on 7/28/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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: 11/21/2025

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