Amirelys Hernandez Diaz | Las Vegas, NV • PECOS Search

Amirelys Hernandez Diaz

Technician

Nursing Service Related Providers

2770 S. Maryland Pkwy, Ste 108b-G, Las Vegas, NV 89109

PECOS Enrollment

Based on the most recent information from CMS, provider Amirelys Hernandez Diaz 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
1750881736
Provider Type
Individual
Full Name
Hernandez Diaz, Amirelys
Gender
Female

Sole Proprietor
No
Enumeration Date
2/16/2018
Last Updated
12/18/2018

Contact Information

Practice Location

2770 S. Maryland Pkwy, Ste 108b-G, Las Vegas, NV 89109

Unlisted Fax

Mailing Location

1515 E Tropicana Ave Ste 305, Las Vegas, NV 89119-6519

Unlisted Fax

Provider Taxonomies

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