Castro, Mayra Carolina

Castro, Mayra Carolina is an sole proprietor health care provider with primary practice located at 3533 Legendary Dr , Las Vegas NV 89121-4430. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Castro, Mayra Carolina can be contacted via phone (702) 832-6210.

Contact Information

Primary practice address
3533 Legendary Dr Las Vegas NV 89121-4430
Fax:
Website:

Profile Details

NPI number 1689006306
LBN Legal business name Castro, Mayra Carolina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2013
Last updated Sep 19th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689006306 NPPES
Nevada MEDICAID 225400000X

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