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NPI Code Detail

MEDICARE: PEDRO OSVALDO GUTIERREZ CARRAZCO

MEDICARE: PEDRO OSVALDO GUTIERREZ CARRAZCO
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1942166400
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEDRO OSVALDO GUTIERREZ CARRAZCO
Provider Business Mailing Address
First Line : 3301 N BUFFALO DR STE 180
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-7449
Country : US
Telephone Number : 702-932-3500
Fax Number :
Provider Business Practice Location Address
First Line : 3301 N BUFFALO DR STE 180
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-7449
Country : US
Telephone Number : 702-932-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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Directions to “ PEDRO OSVALDO GUTIERREZ CARRAZCO ” 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.

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