Dr. Lydia Borjas Estanislao, M.D.
Psychiatry & Neurology, Neurology in Las Vegas, NV. Individual provider (NPI-1).
NPI number1154375798
StatusActive
Last updated in NPPESMay 17, 2016
Details
- NPI
- 1154375798
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lydia Borjas Estanislao
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 19, 2006
- Last updated
- May 17, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NEUROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 11106 | NV | Yes |
Practice location
4206 W Charleston BlvdLas Vegas, NV 89102-1625
Phone 702-331-6709 · Fax 888-624-0181
Mailing address
4206 W Charleston BlvdLas Vegas, NV 89102-1625
Phone 702-331-6709 · Fax 888-624-0181
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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