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NPI Code Detail

MEDICARE: CINDY RIVAS-ALBAGDADI

MEDICARE: CINDY RIVAS-ALBAGDADI
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
1251E00000XHome Health Agency1003119492NV

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 : 1538224290
Entity Type Code : Organization
Provider Name (Legal Business Name) : CINDY RIVAS-ALBAGDADI
Provider Business Mailing Address
First Line : 4324 S EASTERN AVE STE B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6064
Country : US
Telephone Number : 702-823-1712
Fax Number : 702-478-8672
Provider Business Practice Location Address
First Line : 4324 S EASTERN AVE STE B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6064
Country : US
Telephone Number : 702-823-1712
Fax Number : 702-478-8672
Authorized Official
Title or Position : OWNER
Name : MISS CINDY ERICKA RIVAS-ALBAGDADI
Credential :
Telephone Number : 702-823-1712
Provider Enumeration Date : 12/23/2006
Last Update Date : 07/05/2023

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Practice Location Address:
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1053936674 — MARIA MERCEDES MARQUEZ
Practice Location Address:
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LAS VEGAS, NV
89119-6064
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Practice Fax:
1891313490 — DIAMELA VILLEGAS QUINTANA
Practice Location Address:
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LAS VEGAS, NV
89119-6064
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1386256162 — ADRIANA BERENIS TIRSE
Practice Location Address:
4324 S EASTERN AVE STE B
LAS VEGAS, NV
89119-6064
Practice Phone: 702-823-1712
Practice Fax: 702-478-8672

Directions to “CINDY RIVAS-ALBAGDADI ” Practice Location

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