Jacqueline Alvarez

Individual provider Active NPI Rehabilitation Practitioner · Las Vegas, NV

NPI 1104480557 · NPPES record last updated Apr 30, 2019

Key facts

NPI
1104480557
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
3468 E Sahara Ave Ste 160
Las Vegas, NV 89104-4827
Phone
(702) 431-2232
Fax
(702) 431-2598
NPI assigned
Apr 30, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
225400000X Yes

Addresses

Primary practice location

3468 E Sahara Ave Ste 160
Las Vegas, NV 89104-4827

Mailing address

3930 Rive Gauche St
Las Vegas, NV 89115-2426
Phone (702) 971-1994

Other names

  • Mrs. Jackie Alvarez Professional name

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Rehabilitation Practitioner in Nevada

Sources for this page

Verify at the official NPI Registry.