MEDICARE: ZABDY MONTENEGRO RIOS

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
1	225C00000X	Rehabilitation Counselor

General Provider Information

NPI Number	:	1134422017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZABDY MONTENEGRO RIOS

Provider Business Mailing Address
First Line	:	8600 STARBOARD DR # A2200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3431
Country	:	US
Telephone Number	:	623-986-6443
Fax Number	:

Provider Business Practice Location Address
First Line	:	1481 W WARM SPRINGS RD STE 129
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-7636
Country	:	US
Telephone Number	:	702-544-0201
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2010
Last Update Date	:	12/14/2010

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Directions to “ ZABDY MONTENEGRO RIOS ” Practice Location

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