Provider Demographics
NPI:1023696697
Name:RIVERA, AMAIRANI
Entity type:Individual
Prefix:
First Name:AMAIRANI
Middle Name:
Last Name:RIVERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235 E FLAMINGO RD STE 170
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5186
Mailing Address - Country:US
Mailing Address - Phone:702-893-3333
Mailing Address - Fax:702-839-0095
Practice Address - Street 1:2235 E FLAMINGO RD STE 170
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5186
Practice Address - Country:US
Practice Address - Phone:702-893-3333
Practice Address - Fax:702-839-0095
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant