Provider Demographics
NPI:1689401044
Name:GABRINO, MIGUEL ESQUIERDO (BSN, RN)
Entity type:Individual
Prefix:
First Name:MIGUEL
Middle Name:ESQUIERDO
Last Name:GABRINO
Suffix:
Gender:M
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3580 E ALEXANDER RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-0290
Mailing Address - Country:US
Mailing Address - Phone:702-849-5928
Mailing Address - Fax:
Practice Address - Street 1:3580 E ALEXANDER RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-0290
Practice Address - Country:US
Practice Address - Phone:702-849-5928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV868096163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical