Healthcare Provider Details

I. General information

NPI: 1235093030
Provider Name (Legal Business Name): DARLENYS GORT ROJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2773 MCLEOD DR
LAS VEGAS NV
89121-1307
US

IV. Provider business mailing address

2773 MCLEOD DR
LAS VEGAS NV
89121-1307
US

V. Phone/Fax

Practice location:
  • Phone: 702-493-8865
  • Fax: 702-633-5895
Mailing address:
  • Phone: 702-493-8865
  • Fax: 702-633-5895

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: