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NPI Code Detail

MEDICARE: MR. ANTONIO ALEXANDER QUIROZ

MEDICARE: MR. ANTONIO ALEXANDER QUIROZ
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
1106S00000XBehavior TechnicianRBT-26-520500NV

General Provider Information

NPI Number : 1053250134
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTONIO ALEXANDER QUIROZ
Provider Business Mailing Address
First Line : 225 WHITNEY BREEZE AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-6879
Country : US
Telephone Number : 702-810-3257
Fax Number :
Provider Business Practice Location Address
First Line : 871 CORONADO CENTER DR
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3977
Country : US
Telephone Number : 702-725-0544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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