| San Miguel Medical Center | |
|
845 W Craig Rd Ste 104 North Las Vegas NV 89032-0282 | |
| (702) 740-0648 | |
| Not Available |
| Full Name | San Miguel Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 845 W Craig Rd Ste 104, North Las Vegas, Nevada |
| Authorized Official Name and Position | Christina Marie Martinez (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 7027400648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Miguel Medical Center 845 W Craig Rd Ste 104 North Las Vegas NV 89032-0282 Ph: (702) 740-0648 | San Miguel Medical Center 845 W Craig Rd Ste 104 North Las Vegas NV 89032-0282 Ph: (702) 740-0648 |
| NPI Number | 1386110443 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 2062759897 |
|---|---|
| Medicare Enrollment ID | O20190131002264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386110443 | NPI | - | NPPES |
| 1558723486 | Other | NPI | |
| 1851753594 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Amarjit K Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982890539 PECOS PAC ID: 7416144944 Enrollment ID: I20101209001285 |
| Provider Name | Christina M Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558723486 PECOS PAC ID: 1254690084 Enrollment ID: I20180123003509 |
| Provider Name | Javier Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851753594 PECOS PAC ID: 5092052175 Enrollment ID: I20190128001916 |
| Provider Name | Joy Lechner-okon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497417083 PECOS PAC ID: 8729475199 Enrollment ID: I20220504000360 |
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