Individual ProviderSoraida Nanette RiveraTechnicianNursing Service Related ProvidersPractice Address2770 S Maryland Pkwy, Las Vegas, NV 89109-1554(702) 463-7779PECOS EnrollmentBased on the most recent information from CMS, provider Soraida Nanette Rivera 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 yesterday at 12:57 PM.Profile DetailsProvider ID1376148676Provider TypeIndividualFull NameRivera, Soraida NanetteGenderFemaleSole ProprietorYesEnumeration Date12/3/2020Last Updated12/3/2020Contact InformationPractice LocationPractice Address2770 S Maryland Pkwy, Las Vegas, NV 89109-1554Phone(702) 463-7779FaxUnlisted FaxMailing LocationMailing Address2770 S Maryland Pkwy, Las Vegas, NV 89109-1554Phone(702) 463-7779FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode3747P1801XPrimaryDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer