MEDICARE: MARIA LUISA DE LA ROSA QUINTANA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	3747P1801X	Personal Care Attendant
2	385H00000X	Respite Care
3	376J00000X	Homemaker	NV

General Provider Information

NPI Number	:	1730027160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA LUISA DE LA ROSA QUINTANA

Provider Business Mailing Address
First Line	:	7040 LAREDO ST STE E
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3044
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7040 LAREDO ST STE E
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3044
Country	:	US
Telephone Number	:	702-505-8202
Fax Number	:

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

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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