Organization
CENTERWELL SENIOR PRIMARY CARE NV P C
Active
Parent organization
CENTERWELL SENIOR PRIMARY CARE NV PC
Other names
Partners in Primary Care NV PC, CenterWell Senior Primary Care-Spring Valley
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTERWELL SENIOR PRIMARY CARE NV PC
Authorized official
ANGIE MARTINEZ (SENIOR CREDENTIALING PROFESSIONAL)
(407) 447-7120
Entity
Organization
Contact information
Practice address
4001 S DECATUR BLVD STE 25, LAS VEGAS, NV 89103-5857
(725) 224-6967
(833) 749-0357
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(407) 447-7120
(407) 770-0661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
05/20/2020
Last updated
12/16/2025
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