Leonardo Acosta Portuondo
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1124828835
StatusActive
Last updated in NPPESMar 13, 2025
Details
- NPI
- 1124828835
- Entity type
- Individual (NPI-1)
- Name
- Leonardo Acosta Portuondo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2025
- Certification date
- Mar 13, 2025
- Last updated
- Mar 13, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
2780 S Jones BlvdLas Vegas, NV 89146-5628
Phone 702-333-1488
Mailing address
1920 Del Mar AveLas Vegas, NV 89169-1708
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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