Provider Demographics
NPI:1457319709
Name:LUPERTE, ESTHERLOIDA P (MD)
Entity Type:Individual
Prefix:
First Name:ESTHERLOIDA
Middle Name:P
Last Name:LUPERTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8550 W DESERT INN RD
Mailing Address - Street 2:SUITE 102-134
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-4401
Mailing Address - Country:US
Mailing Address - Phone:702-921-6829
Mailing Address - Fax:702-921-6828
Practice Address - Street 1:8280 W WARM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-3612
Practice Address - Country:US
Practice Address - Phone:702-921-6829
Practice Address - Fax:702-921-6828
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9731207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVH32852Medicare UPIN
NVVBC561Medicare PIN