Provider Demographics
NPI:1467212886
Name:ARLENE RILLO MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ARLENE RILLO MD A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:RILLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-996-6061
Mailing Address - Street 1:3195 SAINT ROSE PKWY STE 212
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-3504
Mailing Address - Country:US
Mailing Address - Phone:702-996-6060
Mailing Address - Fax:702-996-6061
Practice Address - Street 1:3195 SAINT ROSE PKWY STE 212
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3504
Practice Address - Country:US
Practice Address - Phone:702-996-6060
Practice Address - Fax:702-996-6061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty