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NPI Code Detail

MEDICARE: CARMEN ELENA PUENTES SLP

MEDICARE:   CARMEN ELENA PUENTES  SLP
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
1235Z00000XSpeech-Language Pathologist2639NV

General Provider Information

NPI Number : 1730715160
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN ELENA PUENTES SLP
Provider Business Mailing Address
First Line : 5516 S FORT APACHE RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-7678
Country : US
Telephone Number : 702-641-8255
Fax Number :
Provider Business Practice Location Address
First Line : 5516 S FORT APACHE RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-7678
Country : US
Telephone Number : 702-641-8255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2020
Last Update Date : 03/17/2020

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Directions to “ CARMEN ELENA PUENTES SLP” 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.