Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Safe Harbor Medical, Inc

Organization Family Medicine Physician · NPI 1619394251

Safe Harbor Medical, Inc provides Family Medicine Physician services in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2014.

Licensed in
NV
In the registry since
2014
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2901 N Tenaya Way Ste 100
Las Vegas, NV 89128-1404
Phone: (702) 870-8852
Fax: (702) 870-8914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 380 (NV)
Community Health Clinic/Center Taxonomy 261QC1500X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1619394251
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Alicea — Ceo · (702) 870-8852
Other names Safe Harbor Medical
NPI enumeratedMarch 20, 2014
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address2901 N Tenaya Way Ste 100, Las Vegas, NV 89128-1404

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