MEDICARE: JAMES ALCANTARA

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1538448394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ALCANTARA

Provider Business Mailing Address
First Line	:	3047 E WARM SPRINGS RD STE 400
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3761
Country	:	US
Telephone Number	:	408-482-3935
Fax Number	:

Provider Business Practice Location Address
First Line	:	3047 E WARM SPRINGS RD STE 400
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3761
Country	:	US
Telephone Number	:	408-482-3935
Fax Number	:

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

Provider Enumeration Date	:	08/11/2011
Last Update Date	:	03/24/2015

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Directions to “ JAMES ALCANTARA ” Practice Location

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