Organization
PRIME MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE PUEBLA ISAAC (MANAGER)
(786) 870-2904
Entity
Organization
Contact information
Practice address
1917 ROSE CORAL AVE, LAS VEGAS, NV 89106-1807
(786) 870-2904
Mailing address
2621 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2121
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
06/10/2025
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