Provider Demographics
NPI:1174167530
Name:TOVAR-MARTINEZ, YOSVANY
Entity type:Individual
Prefix:
First Name:YOSVANY
Middle Name:
Last Name:TOVAR-MARTINEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5130 S PECOS RD STE 1B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-1248
Mailing Address - Country:US
Mailing Address - Phone:702-742-8235
Mailing Address - Fax:702-405-8951
Practice Address - Street 1:5130 S PECOS RD STE 1B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-1248
Practice Address - Country:US
Practice Address - Phone:702-742-8235
Practice Address - Fax:702-405-8951
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor