Individual ProviderFernando Alonso MugaCounselorBehavioral Health & Social Service ProvidersPractice Address6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146-1067(702) 437-4673(702) 538-4007PECOS EnrollmentBased on the most recent information from CMS, provider Fernando Alonso Muga does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194198432Provider TypeIndividualFull NameMuga, Fernando AlonsoCredentialBAGenderMaleSole ProprietorYesEnumeration Date11/9/2015Last Updated11/9/2015Contact InformationPractice LocationPractice Address6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146-1067Phone(702) 437-4673FaxUnlisted FaxMailing LocationMailing Address6500 W Charleston Blvd Apt 35, Las Vegas, NV 89146-9059Phone(702) 538-4007FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer