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NPI Code Detail

MEDICARE: JOSE MIGUEL PEREZ NARANJO

MEDICARE:   JOSE MIGUEL PEREZ NARANJO
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
13747P1801XPersonal Care Attendant

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 : 1437762077
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE MIGUEL PEREZ NARANJO
Provider Business Mailing Address
First Line : 2829 SING SONG WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-1339
Country : US
Telephone Number : 786-444-5913
Fax Number :
Provider Business Practice Location Address
First Line : 2829 SING SONG WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-1339
Country : US
Telephone Number : 786-444-5913
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2020
Last Update Date : 08/24/2020

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Directions to “ JOSE MIGUEL PEREZ NARANJO ” Practice Location

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