Organization
ACTIVATE WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL ADRIAN AYUSTE YU MD (MANAGER)
(702) 845-7292
Entity
Organization
Contact information
Practice address
2626 S RAINBOW BLVD STE 102B, LAS VEGAS, NV 89146-4005
(702) 845-7292
Mailing address
2626 S RAINBOW BLVD STE 102B, LAS VEGAS, NV 89146-4005
(702) 845-7292
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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