Camille Marrero Mangual, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-1194 Issued in NV

Practice address

2080 E Flamingo Rd Ste 111
Las Vegas, NV 89119-5175

Phone

(702) 737-8820

NPI assigned

May 14, 2019

Last updated

May 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1679139810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 RUSTICATED STONE AVE UNIT 102",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111669",
            "telephone_number": "702-628-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 E FLAMINGO RD STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195175",
            "telephone_number": "702-737-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO MANGUAL",
        "first_name": "CAMILLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "A-1194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrol A Marquis, MFT
• Lorena Marqurz
• Carol L Marrandino, DDS
• Josue Marrero Calero
• Dayani Marrero de la Cruz
• Ailyn Marrero Mascaro
• Yanaysi Marrero Velazquez
• Yanelis Marrero Velazquez
• Brisney Marrero Sr.
• Katie Ann Marrero, MD

• Physical Therapy Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.