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NPI Code Detail

MEDICARE: PAOLA ESMERALDA BERNAL

MEDICARE: PAOLA ESMERALDA BERNAL
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
1225400000XRehabilitation PractitionerNV

General Provider Information

NPI Number : 1811478233
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAOLA ESMERALDA BERNAL
Provider Business Mailing Address
First Line : 4500 ISABELLA CIR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-4662
Country : US
Telephone Number : 702-689-9823
Fax Number :
Provider Business Practice Location Address
First Line : 8685 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2839
Country : US
Telephone Number : 702-754-0807
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2018
Last Update Date : 06/26/2026

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Directions to “ PAOLA ESMERALDA BERNAL ” Practice Location

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