Healthcare Provider Details

I. General information

NPI: 1497238224
Provider Name (Legal Business Name): ALEJANDRO SAENZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2018
Last Update Date: 09/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2881 S VALLEY VIEW BLVD STE 6
LAS VEGAS NV
89102-0171
US

IV. Provider business mailing address

404 CACTUS BLOOM LN
LAS VEGAS NV
89107-1226
US

V. Phone/Fax

Practice location:
  • Phone: 702-253-1031
  • Fax: 702-253-9474
Mailing address:
  • Phone: 702-467-7935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: