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NPI Code Detail

MEDICARE: ROBERTO MUZQUIZ JR.

MEDICARE: ROBERTO MUZQUIZ JR.
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1952706715
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERTO MUZQUIZ JR.
Provider Business Mailing Address
First Line : 5021 ALTA DR.
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-3937
Country : US
Telephone Number : 702-816-2595
Fax Number : 702-816-2574
Provider Business Practice Location Address
First Line : 610 BELROSE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-2234
Country : US
Telephone Number : 702-605-5858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2014
Last Update Date : 06/24/2025

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Directions to “ ROBERTO MUZQUIZ JR. ” Practice Location

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