Michael Earl Acero IV

Individual provider Active NPI Community Health Worker · Las Vegas, NV

NPI 1750117016 · NPPES record last updated Sep 12, 2024

Key facts

NPI
1750117016
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
License
CHW1-5829 (NV)
Practice address
5330 Duralite St Unit 203
Las Vegas, NV 89122-7364
Phone
(714) 292-6726
NPI assigned
Sep 12, 2024
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

State licenses

LicenseStateTypeSpecialty
CHW1-5829NVMDCommunity Health Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CHW1-5829 NV Yes

Addresses

Primary practice location

5330 Duralite St Unit 203
Las Vegas, NV 89122-7364

Mailing address

5330 Duralite St Unit 203
Las Vegas, NV 89122-7364
Phone (714) 292-6726

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Community Health Worker in Nevada

Sources for this page

Verify at the official NPI Registry.