Provider Demographics
NPI:1386210953
Name:CIGNEROS DIAZ, ALMA XOCHITL
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:XOCHITL
Last Name:CIGNEROS DIAZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALMA
Other - Middle Name:XOCHITL
Other - Last Name:CIGNEROS DIAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1824 E BONANZA RD APT 2
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-3351
Mailing Address - Country:US
Mailing Address - Phone:702-578-9807
Mailing Address - Fax:
Practice Address - Street 1:1824 E BONANZA RD APT 2
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-3351
Practice Address - Country:US
Practice Address - Phone:702-578-9807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant