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NPI Code Detail

MEDICARE: EDUARDO CINTRA PERAZA

MEDICARE: EDUARDO CINTRA PERAZA
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
1106S00000XBehavior TechnicianRBT-23-294971NV

General Provider Information

NPI Number : 1710767363
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDUARDO CINTRA PERAZA
Provider Business Mailing Address
First Line : 1767 QUIVER POINT AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89012-3482
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1767 QUIVER POINT AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89012-3482
Country : US
Telephone Number : 725-254-8037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2023
Last Update Date : 10/02/2023

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Directions to “ EDUARDO CINTRA PERAZA ” Practice Location

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