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

Ncr Medical and Wellness Center LLC

Organization Family Medicine Physician · NPI 1114710456

Ncr Medical and Wellness Center LLC is a Family Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4225 S Eastern Ave Ste 9
Las Vegas, NV 89119-5485
Phone: (725) 316-3851
Fax: (702) 552-0302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1114710456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Cubil — Owner · (725) 316-3851
NPI enumeratedMay 28, 2025
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address4225 S Eastern Ave Ste 9, Las Vegas, NV 89119-5485

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