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NPI Code Detail

MEDICARE: LILIANA ROSA BETANCOURT CONSUEGRA

MEDICARE: LILIANA ROSA BETANCOURT CONSUEGRA
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 AttendantNV

General Provider Information

NPI Number : 1629931076
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIANA ROSA BETANCOURT CONSUEGRA
Provider Business Mailing Address
First Line : 2150 S EASTERN AVE STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-4109
Country : US
Telephone Number : 702-207-0842
Fax Number : 702-207-0357
Provider Business Practice Location Address
First Line : 2150 S EASTERN AVE STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-4109
Country : US
Telephone Number : 702-207-0842
Fax Number : 702-207-0357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ LILIANA ROSA BETANCOURT CONSUEGRA ” 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.

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