MEDICARE: ELENA KARINA VELAZQUEZ VILLAVICENCIO

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	3747P1801X	Personal Care Attendant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255974168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA KARINA VELAZQUEZ VILLAVICENCIO

Provider Business Mailing Address
First Line	:	6806 GRANITE RIVER LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-8376
Country	:	US
Telephone Number	:	702-334-1413
Fax Number	:

Provider Business Practice Location Address
First Line	:	6806 GRANITE RIVER LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-8376
Country	:	US
Telephone Number	:	702-334-1413
Fax Number	:

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

Provider Enumeration Date	:	10/23/2019
Last Update Date	:	10/23/2019

Similar Medicare Providers

1770450942 — WENNIE CABREROS
Practice Location Address:

8376 ARUBA BLUE CREEK CT
LAS VEGAS, NV
89113-4690

Practice Phone: 702-910-8527
Practice Fax:

1730050444 — ARIEL TANAE OSBORNE APRN, PMHNP
Practice Location Address:

5472 VERBENA LIME LN
LAS VEGAS, NV
89122-7776

Practice Phone: 909-997-8073
Practice Fax:

1427989821 — BLUEGRASS CARE GROUP LLC
Practice Location Address:

5249 FIRE NIGHT AVE
LAS VEGAS, NV
89122-6957

Practice Phone: 702-481-2775
Practice Fax:

1326979121 — MARITZA MIRAMONTES
Practice Location Address:

6650 BLACK OIL DR
LAS VEGAS, NV
89122-8125

Practice Phone: 702-287-3476
Practice Fax:

1942137856 — DEZIREE SHARP
Practice Location Address:

6512 COFFEEVILLE CREEK DR
LAS VEGAS, NV
89122-3503

Practice Phone: 725-246-6839
Practice Fax:

1376514646 — MARK ZIMMERMAN M.D.
Practice Location Address:

5967 SUN APPELLO AVE
LAS VEGAS, NV
89122-3447

Practice Phone: 702-489-5120
Practice Fax: 702-489-5120

Directions to “ ELENA KARINA VELAZQUEZ VILLAVICENCIO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.