Provider Demographics
NPI:1568206480
Name:PELAYO TORRES, GILBERTO (CNP)
Entity type:Individual
Prefix:
First Name:GILBERTO
Middle Name:
Last Name:PELAYO TORRES
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8791 ALTA DR STE 2046
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-8572
Mailing Address - Country:US
Mailing Address - Phone:775-209-3734
Mailing Address - Fax:
Practice Address - Street 1:8791 ALTA DR STE 2046
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-8572
Practice Address - Country:US
Practice Address - Phone:775-209-3734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV810276363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner