# ACTIVATE WOUND CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932095809
- **Authorized official:** MIGUEL ADRIAN AYUSTE YU MD (MANAGER)
- **Authorized official phone:** (702) 845-7292

## Contact information

- **Practice address:** 2626 S RAINBOW BLVD STE 102B, LAS VEGAS, NV 89146-4005
- **Practice address phone:** (702) 845-7292
- **Mailing address:** 2626 S RAINBOW BLVD STE 102B, LAS VEGAS, NV 89146-4005
- **Mailing address phone:** (702) 845-7292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2025
- **Last updated:** 06/16/2025