Provider Demographics
NPI:1790078848
Name:ALEXANDER, RUBEN GERARD (MD)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:GERARD
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 N BUFFALO DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-0375
Mailing Address - Country:US
Mailing Address - Phone:702-476-9700
Mailing Address - Fax:702-476-9138
Practice Address - Street 1:3270 N BUFFALO DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7402
Practice Address - Country:US
Practice Address - Phone:702-676-2000
Practice Address - Fax:702-676-2042
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16996207L00000X, 208VP0000X, 207LP2900X
PAMT199661208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1790078848Medicaid