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

Centerwell Senior Primary Care Nv Cs PC

Organization Family Medicine Physician · NPI 1801682257

Centerwell Senior Primary Care Nv Cs PC is a Family Medicine Physician in Las Vegas, Nevada. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4001 S Decatur Blvd Ste 25
Las Vegas, NV 89103-5857
Phone: (725) 224-6967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 — (407) 447-7120

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1801682257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
NPI enumeratedApril 15, 2025
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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