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

Vitalis Wound Care LLC

Organization Internal Medicine Physician · NPI 1417745936

Vitalis Wound Care LLC is an Internal Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

3062 Conquista Ct
Las Vegas, NV 89121-3829
Phone: (702) 673-1930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1417745936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Dela Paz — Owner · (909) 910-2804
NPI enumeratedApril 25, 2025
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025
Mailing address3062 Conquista Ct, Las Vegas, NV 89121-3829

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