| Centerwell Senior Primary Care-bonanza | |
|
691 N Nellis Blvd Las Vegas NV 89110-5383 | |
| (702) 430-9996 | |
| (877) 409-2125 |
| Full Name | Centerwell Senior Primary Care-bonanza |
|---|---|
| Speciality | Internal Medicine |
| Location | 691 N Nellis Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care-bonanza 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Centerwell Senior Primary Care-bonanza 691 N Nellis Blvd Las Vegas NV 89110-5383 Ph: (702) 430-9996 |
| NPI Number | 1003695545 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003695545 | NPI | - | NPPES |
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