| Well Care Medical Llc | |
|
3230 E Charleston Blvd Ste 111 Las Vegas NV 89104-6627 | |
| (702) 724-4876 | |
| Not Available |
| Full Name | Well Care Medical Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3230 E Charleston Blvd Ste 111, Las Vegas, Nevada |
| Authorized Official Name and Position | Jeniffer Marino Gonzalez (OWNER) |
| Authorized Official Contact | 7027244876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Care Medical Llc 3230 E Charleston Blvd Ste 111 Las Vegas NV 89104-6627 Ph: (702) 724-4876 | Well Care Medical Llc 3230 E Charleston Blvd Ste 111 Las Vegas NV 89104-6627 Ph: (702) 724-4876 |
| NPI Number | 1073296851 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Medicare PECOS PAC ID | 3274975016 |
|---|---|
| Medicare Enrollment ID | O20240524002961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073296851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Miguel Angel Vargas-lagunas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356551873 PECOS PAC ID: 8628164621 Enrollment ID: I20140801000380 |
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