Healthcare Provider Details

I. General information

NPI: 1750957148
Provider Name (Legal Business Name): ARVIN MAGSAYO LOQUINARIO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2021
Last Update Date: 05/27/2021
Certification Date: 05/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2860 E CHEYENNE AVE
NORTH LAS VEGAS NV
89030-4234
US

IV. Provider business mailing address

3165 N RAINBOW BLVD
LAS VEGAS NV
89108-4578
US

V. Phone/Fax

Practice location:
  • Phone: 702-570-6222
  • Fax: 702-803-9677
Mailing address:
  • Phone: 702-570-6222
  • Fax: 702-803-9677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number4519
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: