Individual ProviderGus Erik Del RosarioNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5980 Wellington Peak Rd, Las Vegas, NV 89148-1498(702) 708-4096PECOS EnrollmentBased on the most recent information from CMS, provider Gus Erik Del Rosario is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1902550296Provider TypeIndividualFull NameDel Rosario, Gus ErikCredentialFNPGenderMaleSole ProprietorYesEnumeration Date2/7/2022Last Updated2/7/2022Contact InformationPractice LocationPractice Address5980 Wellington Peak Rd, Las Vegas, NV 89148-1498Phone(702) 708-4096FaxUnlisted FaxMailing LocationMailing Address5980 Wellington Peak Rd, Las Vegas, NV 89148-1498Phone(702) 708-4096FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense850851Nevada