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NPI Code Detail

MEDICARE: NIURKY MIRALLES

MEDICARE: NIURKY MIRALLES
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
1225200000XPhysical Therapy AssistantA-0764NV

General Provider Information

NPI Number : 1194675405
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIURKY MIRALLES
Provider Business Mailing Address
First Line : 8045 PINK DESERT ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89085-4451
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9275 W RUSSELL RD STE 205
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1476
Country : US
Telephone Number : 702-259-4966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

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Directions to “ NIURKY MIRALLES ” Practice Location

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