NPI 1003695545

Centerwell Senior Primary Care (nv) PC

Organisation Internal Medicine Physician Las Vegas, NV

Practice location

Address: 691 N Nellis Blvd, Las Vegas, NV 89110-5383
Phone: (702) 430-9996
Fax: (877) 409-2125
Mailing address: 6101 Blue Lagoon Dr STE 200, Miami, FL 33126-3168

Authorised official

Name: Angie Martinez
Title: Senior Credentialing Professional
Phone: (407) 447-7120

Registered specialties (4)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Nevada →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Nevada →

Interventional Cardiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207RI0011X

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Nevada →

Registry record

NPI: 1003695545
Entity type: Organization
NPI issued: 25 Sep 2023
Record last updated: 3 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.