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NPI Code Detail

MEDICARE: AMAIRANI RIVERA

MEDICARE:   AMAIRANI  RIVERA
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1023696697
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMAIRANI RIVERA
Provider Business Mailing Address
First Line : 2235 E FLAMINGO RD STE 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5186
Country : US
Telephone Number : 702-893-3333
Fax Number : 702-839-0095
Provider Business Practice Location Address
First Line : 2235 E FLAMINGO RD STE 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5186
Country : US
Telephone Number : 702-893-3333
Fax Number : 702-839-0095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2021
Last Update Date : 06/30/2021

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Directions to “ AMAIRANI RIVERA ” Practice Location

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