Provider Demographics
NPI:1437645868
Name:ALMEIDA, RASIEL SR
Entity Type:Individual
Prefix:
First Name:RASIEL
Middle Name:
Last Name:ALMEIDA
Suffix:SR
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 1:5241 SAN ANSELMO ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-1778
Mailing Address - Country:US
Mailing Address - Phone:702-689-3270
Mailing Address - Fax:
Practice Address - Street 1:5241 SAN ANSELMO ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-1778
Practice Address - Country:US
Practice Address - Phone:702-689-3270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2104674248OtherDL