| Nibiru Medical Center Llc | |
|
2235 E Flamingo Rd Ste 205 Las Vegas NV 89119-5152 | |
| (702) 637-7534 | |
| (702) 920-7677 |
| Full Name | Nibiru Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2235 E Flamingo Rd Ste 205, Las Vegas, Nevada |
| Authorized Official Name and Position | Arturo Ernesto Varela Quiles (MANAGER) |
| Authorized Official Contact | 7025109587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nibiru Medical Center Llc 2235 E Flamingo Rd Ste 205 Las Vegas NV 89119-5152 Ph: (702) 510-9587 | Nibiru Medical Center Llc 2235 E Flamingo Rd Ste 205 Las Vegas NV 89119-5152 Ph: (702) 637-7534 |
| NPI Number | 1770285587 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Medicare PECOS PAC ID | 2567906720 |
|---|---|
| Medicare Enrollment ID | O20240628000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770285587 | NPI | - | NPPES |
| 250024181 | Medicaid | NV |
| Provider Name | Gelvis Concepcion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588047989 PECOS PAC ID: 5890169346 Enrollment ID: I20230323001216 |
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