Provider Demographics
NPI:1891452934
Name:APARICIO, ALEXANDER GABRIEL
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:GABRIEL
Last Name:APARICIO
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 1:444 LAS CASITAS WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-2432
Mailing Address - Country:US
Mailing Address - Phone:201-270-9522
Mailing Address - Fax:
Practice Address - Street 1:2770 S MARYLAND PKWY STE 108B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1564
Practice Address - Country:US
Practice Address - Phone:702-463-7779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant