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 1083237465

Centerwell Senior Primary Care (Nv) PC is a Family Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2020.

In the registry since
2020
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

1766 E Charleston Blvd
Las Vegas, NV 89104-1945
Phone: (702) 843-2440
Fax: (833) 749-0349
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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 number1083237465
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 -Fremont Street; Partners In Primary Care-Fremont Street; Partners In Primary Care Nv Pc
NPI enumeratedMay 20, 2020
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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