MEDICARE: BALTASAR AGUILAR

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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1780299404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BALTASAR AGUILAR

Provider Business Mailing Address
First Line	:	1512 NEWBERRY CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-1124
Country	:	US
Telephone Number	:	702-822-2188
Fax Number	:

Provider Business Practice Location Address
First Line	:	1512 NEWBERRY CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-1124
Country	:	US
Telephone Number	:	702-822-2188
Fax Number	:

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

Provider Enumeration Date	:	09/10/2020
Last Update Date	:	09/10/2020

Similar Medicare Providers

1326343286 — MR. HOLLISTER D. HOLLIDAY
Practice Location Address:

1124 STONEYPEAK AVE
N LAS VEGAS, NV
89081-3242

Practice Phone: 702-759-6574
Practice Fax:

1477896983 — MR. ROBERT MELESKI
Practice Location Address:

8501 W. UNIVERSITY AVE #1124
LAS VEGAS, NV
89147

Practice Phone: 702-807-5722
Practice Fax:

1710495445 — MS. ANISSA D JOHNSON
Practice Location Address:

6216 MEADOWHAVEN LN
LAS VEGAS, NV
89103-1124

Practice Phone: 702-245-9905
Practice Fax: 702-293-3664

1871199513 — MARIEL ARMSTRONG LPN
Practice Location Address:

8610 S MARYLAND PKWY APT 1124
LAS VEGAS, NV
89123-2727

Practice Phone: 702-913-9991
Practice Fax:

1487305744 — JONISIA D HARVEY
Practice Location Address:

4730 E CRAIG RD UNIT 1124
LAS VEGAS, NV
89115-2595

Practice Phone: 661-941-7432
Practice Fax:

1992442909 — TIANNA GRIFFIN
Practice Location Address:

10175 SPENCER ST APT 1124
LAS VEGAS, NV
89183-6880

Practice Phone: 702-609-0029
Practice Fax:

Directions to “ BALTASAR AGUILAR ” 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.