Basic Information
| Provider Information | |||||||||
| NPI: | 1366639395 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PIRRAGLIA | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | VICTORIA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 900 S MEADOWS PKWY | ||||||||
| Address2: | APT #4921 | ||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895215858 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127347600 | ||||||||
| FaxNumber: | 2127342266 | ||||||||
| Practice Location | |||||||||
| Address1: | 9990 DOUBLE R BLVD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895216014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753488800 | ||||||||
| FaxNumber: | 7753488818 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2007 | ||||||||
| LastUpdateDate: | 04/05/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | 16243 | NV | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 208100000X | 210358 | NY | N | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
ID Information
| ID | Type | State | Issuer | Description | 1366639395 | 05 | NV | MEDICAID |