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NPI Code Detail

MEDICARE: PAVEL CERVERA ALBURQUERQUE

MEDICARE: PAVEL CERVERA ALBURQUERQUE
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

General Provider Information

NPI Number : 1568108991
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAVEL CERVERA ALBURQUERQUE
Provider Business Mailing Address
First Line : 2810 W CHARLESTON BLVD STE 44
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2810 W CHARLESTON BLVD STE 44
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1905
Country : US
Telephone Number : 702-485-1888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2022
Last Update Date : 05/09/2022

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Directions to “ PAVEL CERVERA ALBURQUERQUE ” 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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