Amor Alfonso Miranda | Las Vegas, NV • PECOS Search

Amor Alfonso Miranda

Technician

Nursing Service Related Providers

2770 S Maryland Pkwy, Las Vegas, NV 89109-1554

PECOS Enrollment

Based on the most recent information from CMS, provider Amor Alfonso Miranda does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1194362053
Provider Type
Individual
Full Name
Alfonso Miranda, Amor
Gender
Female

Sole Proprietor
No
Enumeration Date
12/10/2019
Last Updated
12/10/2019

Contact Information

Practice Location

2770 S Maryland Pkwy, Las Vegas, NV 89109-1554

Unlisted Fax

Mailing Location

2770 S Maryland Pkwy, Las Vegas, NV 89109-1554

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 3747P1801X Primary	Description Technician Nursing Service Related Providers	License Unlisted Issuer