Hygeia Wellness Center Llc | |
2810 W Charleston Blvd Ste 77 Las Vegas NV 89102-1910 | |
(702) 445-6323 | |
(702) 749-3156 |
Full Name | Hygeia Wellness Center Llc |
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Speciality | Internal Medicine |
Location | 2810 W Charleston Blvd Ste 77, Las Vegas, Nevada |
Authorized Official Name and Position | Yissel Del Rio (MANAGING MEMBER) |
Authorized Official Contact | 7027695913 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hygeia Wellness Center Llc 2810 W Charleston Blvd Ste 77 Las Vegas NV 89102-1910 Ph: (702) 445-6323 | Hygeia Wellness Center Llc 2810 W Charleston Blvd Ste 77 Las Vegas NV 89102-1910 Ph: (702) 445-6323 |
NPI Number | 1023730421 |
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Provider Enumeration Date | 09/13/2022 |
Last Update Date | 03/11/2024 |
Certification Date | 03/11/2024 |
Medicare PECOS PAC ID | 0042670218 |
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Medicare Enrollment ID | O20230719002801 |
Identifier | Type | State | Issuer |
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1023730421 | NPI | - | NPPES |
Provider Name | Khoa D Le |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922161736 PECOS PAC ID: 0143240754 Enrollment ID: I20070829000708 |
Provider Name | Junier Torres-quiala |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427509850 PECOS PAC ID: 4981034493 Enrollment ID: I20200424001401 |
Provider Name | William Davis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679797633 PECOS PAC ID: 6002906096 Enrollment ID: I20200622000938 |
Provider Name | Chukwuemeka Deroy Obilor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366024119 PECOS PAC ID: 8325442262 Enrollment ID: I20210813002373 |
Provider Name | Candi Greenlee |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013240100 PECOS PAC ID: 3779947510 Enrollment ID: I20230913001317 |
Provider Name | Nethanya Cortez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821515065 PECOS PAC ID: 0547624223 Enrollment ID: I20230913003396 |
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