Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amauri Santiago Rosales Ponce de Leon, APRN-CNP

Individual provider Registered Nurse · NPI 1205454295

Amauri Santiago Rosales Ponce de Leon, APRN-CNP is a Family Practice in Las Vegas, Nevada. Qualified in 2023, 3 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
3
Licensed in
NV
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3430 E Flamingo Rd Ste 104
Las Vegas, NV 89121-5070
Phone: (702) 703-9070
Fax: (702) 977-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 546 N Eastern Ave, Las Vegas, NV 89101-3481 — (702) 778-7614

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 841192 (NV)
Registered Nurse Taxonomy 163W00000X · Licence 841192 (NV)

Record details

NPI number1205454295
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorYes
NPI enumeratedJuly 7, 2020
Last updated in NPPESFebruary 28, 2026
Certification dateFebruary 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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