Centerwell Senior Primary Care-bonanza - Primary Care in Las Vegas, NV

Centerwell Senior Primary Care-bonanza is a primary clinic (Internal Medicine) in Las Vegas, Nevada. The current practice location for Centerwell Senior Primary Care-bonanza is 691 N Nellis Blvd, Las Vegas, Nevada. For appointments, you can reach them via phone at (702) 430-9996. The mailing address for Centerwell Senior Primary Care-bonanza is 4700 Millenia Blvd Ste 650, Orlando, Florida and phone number is (407) 447-7120.

Centerwell Senior Primary Care-bonanza is licensed to practice in * (Not Available) (license number ) and its NPI number is 1003695545. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (702) 430-9996.

Contact Information

Centerwell Senior Primary Care-bonanza
691 N Nellis Blvd
Las Vegas
NV 89110-5383
(702) 430-9996
(877) 409-2125

Primary Care Clinic Profile

Full NameCenterwell Senior Primary Care-bonanza
SpecialityInternal Medicine
Location691 N Nellis Blvd, Las Vegas, Nevada
Authorized Official Name and PositionAngie Martinez (SENIOR CREDENTIALING PROFESSIONAL)
Authorized Official Contact4074477120
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centerwell Senior Primary Care-bonanza
4700 Millenia Blvd Ste 650
Orlando
FL 32839-6013

Ph: (407) 447-7120
Centerwell Senior Primary Care-bonanza
691 N Nellis Blvd
Las Vegas
NV 89110-5383

Ph: (702) 430-9996

NPI Details:

NPI Number1003695545
Provider Enumeration Date09/25/2023
Last Update Date02/15/2024

Medical Identifiers

Medical identifiers for Centerwell Senior Primary Care-bonanza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003695545NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207RI0011XInternal Medicine - Interventional Cardiology (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary

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