Ricardo Rodriguez | Las Vegas, NV • PECOS Search

Ricardo Rodriguez

Counselor

Behavioral Health & Social Service Providers

911 N Buffalo Dr, 213, Las Vegas, NV 89128-0379

PECOS Enrollment

Based on the most recent information from CMS, provider Ricardo Rodriguez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1154596138
Provider Type
Individual
Full Name
Rodriguez, Ricardo
Gender
Male

Sole Proprietor
Yes
Enumeration Date
4/29/2008
Last Updated
10/9/2014

Contact Information

Practice Location

911 N Buffalo Dr, 213, Las Vegas, NV 89128-0379

Unlisted Fax

Mailing Location

911 N Buffalo Dr, 213, Las Vegas, NV 89128-0379

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer