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NPI Code Detail

MEDICARE: RICARDO MANUEL ROMERO-ANDRADE

MEDICARE:   RICARDO MANUEL ROMERO-ANDRADE
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
11041C0700XClinical Social WorkerNV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235639832
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICARDO MANUEL ROMERO-ANDRADE
Provider Business Mailing Address
First Line : 1701 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2325
Country : US
Telephone Number : 702-251-8000
Fax Number :
Provider Business Practice Location Address
First Line : 1701 W CHARLESTON BLVD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2313
Country : US
Telephone Number : 702-251-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2018
Last Update Date : 09/12/2024

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Directions to “ RICARDO MANUEL ROMERO-ANDRADE ” Practice Location

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