| Organization Name: | FULGENCIO ANTUNA MD LTD |
| NPI Number: | 1386823482 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FULGENCIO ANTUNA (PRESIDENT) |
| Mailing Address: | 2451 W Horizon Ridge Pkwy Suite 130 Henderson |
| State: | NV US |
| Postal Code: | 890525790 |
| Phone Number: | 7022632929 |
| Fax Number: | 7022632335 |
| NPI Enumeration Date: | 10/25/2007 |
| NPI Last Update Date: | 10/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |