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

Gustavo Cancino

Individual provider Peer Specialist · NPI 1124527551

Gustavo Cancino is a Peer Specialist in Las Vegas, Nevada. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1640 Alta Dr Ste 4
Las Vegas, NV 89106-4165
Phone: (702) 474-6450
Fax: (702) 474-6463
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1124527551
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 12, 2018
Last updated in NPPESFebruary 12, 2018
Mailing address1640 Alta Dr Ste 4, Las Vegas, NV 89106-4165

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