MEDICARE: A NEW DAY MEDICAL LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies	NV20131300663	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NV20131300663	OTHER	NV	STATE BUSINESS LICENSE

General Provider Information

NPI Number	:	1831537133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEW DAY MEDICAL LLC

Provider Business Mailing Address
First Line	:	1911 LOSEE RD
Second Line	:	SUITE 110
City	:	N LAS VEGAS
State	:	NV
Zip	:	89030-1103
Country	:	US
Telephone Number	:	702-654-0065
Fax Number	:	702-654-6759

Provider Business Practice Location Address
First Line	:	1911 LOSEE RD
Second Line	:	SUITE 110
City	:	N LAS VEGAS
State	:	NV
Zip	:	89030-1103
Country	:	US
Telephone Number	:	702-654-0065
Fax Number	:	702-654-6759

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	ANDRINA VASQUEZ
Credential	:
Telephone Number	:	702-654-0065

Provider Enumeration Date	:	06/07/2013
Last Update Date	:	06/07/2013

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Directions to “A NEW DAY MEDICAL LLC ” Practice Location

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