Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elegio Bantilan

Individual provider Community/Behavioral Health Agency · NPI 1720573801

Elegio Bantilan is a Community/Behavioral Health Agency in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2018

Practice location Address checks out

525 E Bonanza Rd
Las Vegas, NV 89101-3038
Phone: (702) 947-4449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (NV)

Record details

NPI number1720573801
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 29, 2018
Last updated in NPPESJune 29, 2018

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