Individual ProviderRueben VasquezCounselorBehavioral Health & Social Service ProvidersPractice Address6171 W Charleston Blvd, Building 8, Las Vegas, NV 89146-1126(702) 486-6191(702) 638-1800PECOS EnrollmentBased on the most recent information from CMS, provider Rueben Vasquez 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 ID1306250311Provider TypeIndividualFull NameVasquez, RuebenGenderMaleSole ProprietorNoEnumeration Date6/17/2014Last Updated6/17/2014Contact InformationPractice LocationPractice Address6171 W Charleston Blvd, Building 8, Las Vegas, NV 89146-1126Phone(702) 486-6191FaxUnlisted FaxMailing LocationMailing Address2219 N Rancho Dr, Suite C-2037, Las Vegas, NV 89130-3317Phone(702) 638-1800FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer