| Hygeia Wellness Center Llc | |
|
2810 W Charleston Blvd Ste 77 Las Vegas NV 89102-1910 | |
| (702) 445-6323 | |
| (702) 749-3156 |
| Full Name | Hygeia Wellness Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2810 W Charleston Blvd Ste 77, Las Vegas, Nevada |
| Authorized Official Name and Position | Yissel Del Rio (MANAGING MEMBER) |
| Authorized Official Contact | 7027695913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hygeia Wellness Center Llc 2810 W Charleston Blvd Ste 77 Las Vegas NV 89102-1910 Ph: (702) 445-6323 | Hygeia Wellness Center Llc 2810 W Charleston Blvd Ste 77 Las Vegas NV 89102-1910 Ph: (702) 445-6323 |
| NPI Number | 1023730421 |
|---|---|
| Provider Enumeration Date | 09/13/2022 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 0042670218 |
|---|---|
| Medicare Enrollment ID | O20230719002801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023730421 | NPI | - | NPPES |
| Provider Name | Khoa D Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922161736 PECOS PAC ID: 0143240754 Enrollment ID: I20070829000708 |
| Provider Name | Junier Torres-quiala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427509850 PECOS PAC ID: 4981034493 Enrollment ID: I20200424001401 |
| Provider Name | William Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679797633 PECOS PAC ID: 6002906096 Enrollment ID: I20200622000938 |
| Provider Name | Chukwuemeka Deroy Obilor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366024119 PECOS PAC ID: 8325442262 Enrollment ID: I20210813002373 |
| Provider Name | Rebecca S Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801331202 PECOS PAC ID: 7618374893 Enrollment ID: I20230720001580 |
| Provider Name | Candi Greenlee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013240100 PECOS PAC ID: 3779947510 Enrollment ID: I20230913001317 |
| Provider Name | Nethanya Cortez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821515065 PECOS PAC ID: 0547624223 Enrollment ID: I20230913003396 |
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