Provider Demographics
NPI:1396732988
Name:MONROE, MARIBEL E (MD)
Entity type:Individual
Prefix:
First Name:MARIBEL
Middle Name:E
Last Name:MONROE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ISABEL
Other - Last Name:ESCLAPES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2480 PROFESSIONAL CT
Mailing Address - Street 2:STE 110
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0835
Mailing Address - Country:US
Mailing Address - Phone:702-868-9100
Mailing Address - Fax:702-868-9101
Practice Address - Street 1:2480 PROFESSIONAL CT
Practice Address - Street 2:STE 110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0835
Practice Address - Country:US
Practice Address - Phone:702-868-9100
Practice Address - Fax:702-868-9101
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8642207VX0201X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV103819OtherPTAN
NV002018051Medicaid
NV103819Medicare PIN