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Chrystal Bonilla Rivera

Social Worker

Behavioral Health & Social Service Providers

4220 S Maryland Pkwy Bldg A2nd, Las Vegas, NV 89119-7533

PECOS Enrollment

This provider is enrolled in PECOS as CHRYSTAL RIVERA.

Based on the most recent information from CMS, provider Chrystal Bonilla Rivera is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1841593969
Provider Type
Individual
Full Name
Rivera, Chrystal Bonilla
Credential
MSW, LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
12/10/2010
Last Updated
11/18/2024

Contact Information

Practice Location

4220 S Maryland Pkwy Bldg A2nd, Las Vegas, NV 89119-7533

(415) 424-4266

(415) 520-6633

Mailing Location

8300 Esters Blvd Ste 900, Irving, TX 75063-2233

(415) 424-4266

(415) 520-6633

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 10195-C Nevada

Chrystal Bonilla Rivera

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Behavioral Bilingual Services

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Counseling Office Of Yountina Ambis Llc

Harris, Monique

Durkovic, Margaret