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 1922751643

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
5
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

2601 N Tenaya Way
Las Vegas, NV 89128-0427
Phone: (702) 240-8155
Fax: (702) 240-8161
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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
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1922751643
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-Tenaya; Centerwell Senior Primary Care-Tenaya
NPI enumeratedFebruary 2, 2022
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024
Mailing address4700 Millenia Blvd Ste 650, Orlando, FL 32839-6013

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