MEDICARE: ZAHILYS QUINTANA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	101Y00000X	Counselor
3	372600000X	Adult Companion
4	3747A0650X	Attendant Care Provider
5	376J00000X	Homemaker
6	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1598265472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAHILYS QUINTANA

Provider Business Mailing Address
First Line	:	5075 SPYGLASS HILL DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89142-2776
Country	:	US
Telephone Number	:	702-677-7693
Fax Number	:

Provider Business Practice Location Address
First Line	:	5130 S PECOS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-1201
Country	:	US
Telephone Number	:	702-410-5090
Fax Number	:

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

Provider Enumeration Date	:	02/16/2018
Last Update Date	:	05/05/2021

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Directions to “ ZAHILYS QUINTANA ” Practice Location

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