Provider Demographics
NPI:1851180467
Name:CARMENATE ALVAREZ, IESSY J
Entity type:Individual
Prefix:
First Name:IESSY
Middle Name:J
Last Name:CARMENATE ALVAREZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4330 BROOKHAVEN DR APT 102
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-3477
Mailing Address - Country:US
Mailing Address - Phone:702-801-3742
Mailing Address - Fax:
Practice Address - Street 1:4330 BROOKHAVEN DR APT 102
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-3477
Practice Address - Country:US
Practice Address - Phone:702-801-3742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant