MEDICARE: ABDIEL RODRIGUEZ HERNANDEZ

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		NV

General Provider Information

NPI Number	:	1881556934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDIEL RODRIGUEZ HERNANDEZ

Provider Business Mailing Address
First Line	:	10175 SPENCER ST APT 1069
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-6878
Country	:	US
Telephone Number	:	702-333-1488
Fax Number	:

Provider Business Practice Location Address
First Line	:	10175 SPENCER ST APT 1069
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-6878
Country	:	US
Telephone Number	:	702-333-1488
Fax Number	:

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

Provider Enumeration Date	:	11/26/2025
Last Update Date	:	11/26/2025

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Directions to “ ABDIEL RODRIGUEZ HERNANDEZ ” Practice Location

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