Tarquino, Mario Fernando

Tarquino, Mario Fernando is an individual health care provider with primary practice located at 3111 S Maryland Pkwy Suite 200, Las Vegas NV 89109-2303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Tarquino, Mario Fernando can be contacted via phone (702) 968-6259.

Contact Information

Primary practice address
3111 S Maryland Pkwy Suite 200 Las Vegas NV 89109-2303
Fax: (702) 987-3219
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 11543 Nevada

Profile Details

NPI number 1669472643
LBN Legal business name Tarquino, Mario Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Mar 25th, 2026 - about 8 months 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 1669472643 NPPES
Nevada MEDICAID 100500024
Nevada MEDICAID 100507087
Nevada Other CN3300

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