Organization
NP CARE SPECIALIST LLC
Active
Organization
NP CARE SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO CRUZADA POBLETE (CEO)
(702) 883-1817
Entity
Organization
Contact information
Practice address
3017 W CHARLESTON BLVD STE 70, LAS VEGAS, NV 89102-1928
(702) 883-1817
Mailing address
3017 W CHARLESTON BLVD STE 70, LAS VEGAS, NV 89102-1928
(702) 883-1817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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