Kenly Urquiza Garcia

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3430 E Flamingo Rd Ste 300
Las Vegas, NV 89121-5066

Phone

(702) 510-9587

Fax

(702) 920-7677

NPI assigned

Aug 23, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nibiru Medical Center LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1770285587

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1205502812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 EL ESCORIAL DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891216805",
            "telephone_number": "702-510-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215066",
            "telephone_number": "702-510-9587",
            "fax_number": "702-920-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URQUIZA GARCIA",
        "first_name": "KENLY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Urioste
• Laticia Jenean Uriostegui
• Gerald Reynon Urquico, PT
• Neiva Guadalupe Urquides Maya
• Gianna Urquidez
• Luis Urquiza Garcia
• Ailin Urquiza Ortega
• Carol-Rose Urrea
• Esmeralda Urrea
• Kiara Urriola

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.