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

Centerwell Senior Primary Care (Nv) PC

Organization Family Medicine Physician · NPI 1053029488

Centerwell Senior Primary Care (Nv) PC is a Family Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
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

2381 E Windmill Ln Ste 14
Las Vegas, NV 89123-2069
Phone: (702) 344-2936
Fax: (877) 707-4582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Interventional Cardiology Physician Taxonomy 207RI0011X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1053029488
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care (Nv) PC
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care-Green Valley; Centerwell Senior Primary Care-Green Valley
NPI enumeratedNovember 15, 2022
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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