| Attentive Care Medical Group | |
|
2110 E Flamingo Rd Ste 104 Las Vegas NV 89119-5191 | |
| (702) 620-5105 | |
| Not Available |
| Full Name | Attentive Care Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 2110 E Flamingo Rd Ste 104, Las Vegas, Nevada |
| Authorized Official Name and Position | Beatriz L Villasenor (ENROLLMENT) |
| Authorized Official Contact | 7024697261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Attentive Care Medical Group 2110 E Flamingo Rd Ste 104 Las Vegas NV 89119-5191 Ph: (702) 620-5106 | Attentive Care Medical Group 2110 E Flamingo Rd Ste 104 Las Vegas NV 89119-5191 Ph: (702) 620-5105 |
| NPI Number | 1386303014 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 04/08/2022 |
| Certification Date | 04/08/2022 |
| Medicare PECOS PAC ID | 4587057039 |
|---|---|
| Medicare Enrollment ID | O20220207000938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386303014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207V00000X | Obstetrics & Gynecology | () | Secondary |
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Mehran Salek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558833830 PECOS PAC ID: 4183601867 Enrollment ID: I20040630000974 |
| Provider Name | Odelaysis Padron-oramas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013556497 PECOS PAC ID: 7113389578 Enrollment ID: I20230816003452 |
| Provider Name | Mildrey Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629580113 PECOS PAC ID: 9234572066 Enrollment ID: I20240208003567 |
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