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 1215503065

Centerwell Senior Primary Care (Nv) PC is a Family Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

80 S Martin Luther King Blvd Ste 100
Las Vegas, NV 89106-4325
Phone: (725) 228-4500
Fax: (877) 889-2823
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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 number1215503065
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-South Mlk; Centerwell Senior Primary Care-South Mlk
NPI enumeratedJune 2, 2021
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

Other providers in Las Vegas