Provider Demographics
NPI:1770677676
Name:FAYLONA, MARIA PILAR (MD PC)
Entity Type:Individual
Prefix:DR
First Name:MARIA PILAR
Middle Name:
Last Name:FAYLONA
Suffix:
Gender:F
Credentials:MD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4212 W CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1625
Mailing Address - Country:US
Mailing Address - Phone:702-312-2233
Mailing Address - Fax:702-318-7801
Practice Address - Street 1:4212 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1625
Practice Address - Country:US
Practice Address - Phone:702-312-2233
Practice Address - Fax:702-318-7801
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV8387207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2019944Medicaid
NV2019944Medicaid
NV2019944Medicaid