Provider Demographics
NPI:1013649243
Name:BARTOLOME, ERICK QUIRANTE (RT)
Entity Type:Individual
Prefix:
First Name:ERICK
Middle Name:QUIRANTE
Last Name:BARTOLOME
Suffix:
Gender:M
Credentials:RT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1771 E FLAMINGO RD STE 100A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5156
Mailing Address - Country:US
Mailing Address - Phone:702-800-6887
Mailing Address - Fax:
Practice Address - Street 1:1771 E FLAMINGO RD STE 100A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5156
Practice Address - Country:US
Practice Address - Phone:702-800-6887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified