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JUAN MANUEL MARTIN PERDOMO
NPI 1114631389
Technician - Personal Care Attendant in Las Vegas, NV

Active since January 11, 2023
4715 VEGAS VALLEY DR UNIT 10, LAS VEGAS, NV 89121(702) 366-3283 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Juan Manuel Martin Perdomo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN MANUEL MARTIN PERDOMO (NPI 1114631389) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1114631389
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameJUAN MANUEL MARTIN PERDOMO
Location Address4715 VEGAS VALLEY DR UNIT 10Las Vegas, NV 89121-7944
Mailing Address4715 Vegas Valley Dr Unit 10Las Vegas, NV 89121-7944 · (702) 366-3283
Phone(702) 366-3283
Sole ProprietorNo
Enumeration DateJanuary 11, 2023
NPPES CertifiedJanuary 11, 2023
✔ NPI 1114631389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
4715 VEGAS VALLEY DR UNIT 10, Las Vegas, NV 89121
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Martin Perdomo's NPI number?

The NPI number for Juan Martin Perdomo is 1114631389. It was assigned to this individual provider in the NPPES registry on January 11, 2023.

Where is Juan Martin Perdomo located?

Juan Martin Perdomo practices at 4715 Vegas Valley Dr Unit 10, Las Vegas, NV 89121. The listed phone number is (702) 366-3283.

What is Juan Martin Perdomo's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Juan Martin Perdomo was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.