Ivan Rivas Lambaren | Las Vegas, NV • PECOS Search

Ivan Rivas Lambaren

Community/Behavioral Health

Agencies

2350 S Jones Blvd, Las Vegas, NV 89146-3103

(702) 214-2193 (702) 496-5518

PECOS Enrollment

Based on the most recent information from CMS, provider Ivan Rivas Lambaren 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 5 days ago.

Profile Details

Provider ID
1770084899
Provider Type
Individual
Full Name
Rivas Lambaren, Ivan
Gender
Male

Sole Proprietor
Yes
Enumeration Date
2/23/2018
Last Updated
2/23/2018

Contact Information

Practice Location

2350 S Jones Blvd, Las Vegas, NV 89146-3103

Unlisted Fax

Mailing Location

3295 N Nellis Blvd Trlr 63, Las Vegas, NV 89115-3048

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer