Provider Demographics
NPI:1932912086
Name:RODRIGUEZ ATENCIO, LIRIETH Z
Entity type:Individual
Prefix:
First Name:LIRIETH
Middle Name:Z
Last Name:RODRIGUEZ ATENCIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3175 E WARM SPRINGS RD STE 134
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3138
Mailing Address - Country:US
Mailing Address - Phone:702-826-2987
Mailing Address - Fax:
Practice Address - Street 1:3175 E WARM SPRINGS RD STE 134
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3138
Practice Address - Country:US
Practice Address - Phone:702-826-2987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant