MEDICARE: RAPHAELA CARRILLO

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	163WH0200X	Home Health Registered Nurse	893817	NV

General Provider Information

NPI Number	:	1396696704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAPHAELA CARRILLO

Provider Business Mailing Address
First Line	:	1988 DRY FALLS ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89142-1244
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1988 DRY FALLS ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89142-1244
Country	:	US
Telephone Number	:	702-755-8486
Fax Number	:

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

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

Similar Medicare Providers

1124979349 — ALMA RAMALES FAJARDO
Practice Location Address:

5055 DUNEVILLE ST APT 130
LAS VEGAS, NV
89118-1244

Practice Phone: 725-206-5714
Practice Fax:

1033444179 — KATHYA DELAQUILA
Practice Location Address:

6408 POINT BREAK ST
NORTH LAS VEGAS, NV
89084-1244

Practice Phone: 702-469-1866
Practice Fax:

1487192308 — MS. HANNAH HARRIS-AUSTIN APRN
Practice Location Address:

494 REDRUTH DR
LAS VEGAS, NV
89178-1244

Practice Phone: 702-506-6629
Practice Fax:

1912995283 — SIKISAM MAGOYAG MD
Practice Location Address:

5755 E CHARLESTON BLVD
LAS VEGAS, NV
89142-1004

Practice Phone: 702-383-6250
Practice Fax: 702-224-7194

1336139328 — DR. WILLIE BRUCE DO
Practice Location Address:

5755 E CHARLESTON BLVD
LAS VEGAS, NV
89142-1004

Practice Phone: 702-383-6240
Practice Fax: 702-224-7186

1821076449 — MICHAEL ANTHONY NASIAK M.D.
Practice Location Address:

5755 E CHARLESTON BLVD
LAS VEGAS, NV
89142-1004

Practice Phone: 702-383-6250
Practice Fax: 702-224-7194

Directions to “ RAPHAELA CARRILLO ” 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.