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

Prime Medical Center LLC

Organization Health Service Clinic/Center · NPI 1043936990

Prime Medical Center LLC is a Health Service Clinic/Center in Las Vegas, Nevada. Registered with an NPI since 2022.

In the registry since
2022
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

1917 Rose Coral Ave
Las Vegas, NV 89106-1807
Phone: (786) 870-2904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1043936990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Puebla Isaac — Manager · (786) 870-2904
NPI enumeratedOctober 12, 2022
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address2621 W Charleston Blvd, Las Vegas, NV 89102-2121

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