MEDICARE: ARNALDO LUIS MOREJON SUAREZ

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	101YM0800X	Mental Health Counselor
2	363LF0000X	Family Nurse Practitioner	862324	NV

General Provider Information

NPI Number	:	1265722474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARNALDO LUIS MOREJON SUAREZ

Provider Business Mailing Address
First Line	:	4680 S EASTERN AVE STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6192
Country	:	US
Telephone Number	:	702-787-7686
Fax Number	:

Provider Business Practice Location Address
First Line	:	4680 S EASTERN AVE STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6192
Country	:	US
Telephone Number	:	702-787-7686
Fax Number	:

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

Provider Enumeration Date	:	04/10/2011
Last Update Date	:	08/31/2025

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