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NPI Code Detail

MEDICARE: RICARDO CUSTODIO

MEDICARE: RICARDO CUSTODIO
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1558226571
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICARDO CUSTODIO
Provider Business Mailing Address
First Line : 8290 W SAHARA AVE STE 260
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-8933
Country : US
Telephone Number : 702-262-9949
Fax Number : 702-446-5093
Provider Business Practice Location Address
First Line : 8290 W SAHARA AVE STE 260
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-8933
Country : US
Telephone Number : 702-262-9949
Fax Number : 702-446-5093
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 “ RICARDO CUSTODIO ” Practice Location

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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.

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