Cuahuatemoc Cano

Individual provider Active NPI Rehabilitation Practitioner · Las Vegas, NV

NPI 1407290240 · NPPES record last updated Apr 23, 2013

Key facts

NPI
1407290240
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
6889 S Eastern Ave
Las Vegas, NV 89119-4687
Phone
(702) 434-1200
NPI assigned
Apr 23, 2013
Sex
Male
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 225400000X Yes

Addresses

Primary practice location

6889 S Eastern Ave
Las Vegas, NV 89119-4687

Mailing address

4734 Cessna Ave
Apt 1
Las Vegas, NV 89115-7252
Phone (702) 860-9263

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.