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NPI Code Detail

MEDICARE: YEXENIS SUAREZ SOTO

MEDICARE: YEXENIS SUAREZ SOTO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult Companion
23747A0650XAttendant Care Provider
3376J00000XHomemaker
43747P1801XPersonal Care Attendant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12101908138OTHERNVDRIVER LICENSE

General Provider Information

NPI Number : 1124536339
Entity Type Code : Individual
Provider Name (Legal Business Name) : YEXENIS SUAREZ SOTO
Provider Business Mailing Address
First Line : 2033 E SAINT LOUIS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3807
Country : US
Telephone Number : 702-806-7082
Fax Number :
Provider Business Practice Location Address
First Line : 2033 E SAINT LOUIS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3807
Country : US
Telephone Number : 702-806-7082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2018
Last Update Date : 01/22/2018

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Directions to “ YEXENIS SUAREZ SOTO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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