Individual ProviderCarlos Alberto MinjarezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address620 Shadow Ln, Las Vegas, NV 89106-4194(702) 388-4000(702) 259-1228PECOS EnrollmentBased on the most recent information from CMS, provider Carlos Alberto Minjarez 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 ID1710639208Provider TypeIndividualFull NameMinjarez, Carlos AlbertoCredentialDNP, FNP-CGenderMaleSole ProprietorNoEnumeration Date1/25/2022Last Updated2/3/2022Contact InformationPractice LocationPractice Address620 Shadow Ln, Las Vegas, NV 89106-4194Phone(702) 388-4000FaxUnlisted FaxMailing LocationMailing Address500 N Rainbow Blvd Ste 203, Las Vegas, NV 89107-1084Phone(702) 259-1228FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense849405Nevada