Provider Demographics
NPI:1942299284
Name:AQUINO, JOSE HT (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:HT
Last Name:AQUINO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:700 E SILVERADO RANCH BLVD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7516
Mailing Address - Country:US
Mailing Address - Phone:702-240-6482
Mailing Address - Fax:702-240-8529
Practice Address - Street 1:3150 N TENAYA WAY
Practice Address - Street 2:STE.#320
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0443
Practice Address - Country:US
Practice Address - Phone:702-240-6482
Practice Address - Fax:702-804-0957
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2014-10-24
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Provider Licenses
StateLicense IDTaxonomies
NV9278207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00927385OtherMEDICARE RAILROAD
NV1942299284Medicaid
NV1942299284Medicaid
EU882YMedicare PIN