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NPI Code Detail

MEDICARE: YAMAISU SUAREZ PINO

MEDICARE: YAMAISU SUAREZ PINO
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-25-471196NV

General Provider Information

NPI Number : 1346105319
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAMAISU SUAREZ PINO
Provider Business Mailing Address
First Line : 1229 FOX GROVE CT
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-0789
Country : US
Telephone Number : 702-530-8666
Fax Number :
Provider Business Practice Location Address
First Line : 6950 S CIMARRON RD # 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2135
Country : US
Telephone Number : 702-530-8666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2025
Last Update Date : 12/22/2025

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Directions to “ YAMAISU SUAREZ PINO ” Practice Location

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