Provider Demographics
NPI:1407439276
Name:CABILES, SARANAY
Entity Type:Individual
Prefix:
First Name:SARANAY
Middle Name:
Last Name:CABILES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 CADENCE VIEW WAY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-5338
Mailing Address - Country:US
Mailing Address - Phone:702-419-7134
Mailing Address - Fax:
Practice Address - Street 1:957 PARK WALK AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-3667
Practice Address - Country:US
Practice Address - Phone:702-419-7134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker