Healthcare Provider Details

I. General information

NPI: 1922926476
Provider Name (Legal Business Name): TERE CARMEN TORREBLANCA GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2656 SKAGIT CT
HENDERSON NV
89052-3870
US

IV. Provider business mailing address

7920 JASPENCE ST
LAS VEGAS NV
89166-5179
US

V. Phone/Fax

Practice location:
  • Phone: 818-458-4376
  • Fax:
Mailing address:
  • Phone: 702-727-7288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: