Provider Demographics
NPI:1154804938
Name:PORRAS-MAS, FELIX ARMANDO (LMT)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:ARMANDO
Last Name:PORRAS-MAS
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5132 DALTON DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4806
Mailing Address - Country:US
Mailing Address - Phone:702-758-2590
Mailing Address - Fax:
Practice Address - Street 1:5132 DALTON DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4806
Practice Address - Country:US
Practice Address - Phone:702-758-2590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNVMT.9420225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist