MEDICARE: ALVIN C POBLETE

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	253Z00000X	In Home Supportive Care Agency	NV20243012918	NV

General Provider Information

NPI Number	:	1952236887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALVIN C POBLETE

Provider Business Mailing Address
First Line	:	3765 E SUNSET RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-6200
Country	:	US
Telephone Number	:	866-586-8722
Fax Number	:	866-745-2561

Provider Business Practice Location Address
First Line	:	3765 E SUNSET RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-6200
Country	:	US
Telephone Number	:	866-586-8722
Fax Number	:	866-745-2561

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

Provider Enumeration Date	:	06/13/2026
Last Update Date	:	06/13/2026

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Directions to “ ALVIN C POBLETE ” Practice Location

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