Provider Demographics
NPI:1154758795
Name:REYES, CARLOS PEREZ (CRT)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:PEREZ
Last Name:REYES
Suffix:
Gender:M
Credentials:CRT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7600 S JONES BLVD
Mailing Address - Street 2:APARTMENT 2129
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-0551
Mailing Address - Country:US
Mailing Address - Phone:702-488-6060
Mailing Address - Fax:
Practice Address - Street 1:6825 W RUSSELL RD
Practice Address - Street 2:SUITE 170
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-1888
Practice Address - Country:US
Practice Address - Phone:702-896-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVRC21492278P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Rehabilitation