Active NPI
Hygeia Wellness Center LLC
- Internal Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HYGEIA WELLNESS CENTER LLC
- Practice address
- 2810 W Charleston Blvd Ste 77
Las Vegas, NV 89102-1910 - Phone
- (702) 445-6323
- Fax
- (702) 749-3156
- NPI assigned
- Sep 13, 2022
- Last updated
- Mar 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yissel Del Rio
- Title
- Managing Member
- Phone
- (702) 769-5913
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
2810 W Charleston Blvd Ste 77
Las Vegas, NV 89102-1910
Mailing address
2810 W Charleston Blvd Ste 77
Las Vegas, NV 89102-1910
Phone (702) 445-6323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2276752 | Hygeia Wellness Center LLC | Certificate of waiver | Feb 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
2810 W Charleston Blvd
Ste 77
Las Vegas, NV 89102
Phone (702) 445-6323
2810 W Charleston Blvd
Ste H77
Las Vegas, NV 89102
Phone (702) 377-6556
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
- NPI 1710687694
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1922161736
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1144750068
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1427509850
-
- Community Health Worker
- Las Vegas, NV
- NPI 1346978863
-
- Personal Care Attendant
- Las Vegas, NV
- NPI 1114600087
-
- Social Worker
- North Las Vegas, NV
- NPI 1255063608
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1013556497
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710115200000",
"number": "1023730421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 W CHARLESTON BLVD STE 77",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021910",
"telephone_number": "702-445-6323",
"fax_number": "702-749-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 W CHARLESTON BLVD STE 77",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021910",
"telephone_number": "702-445-6323",
"fax_number": "702-749-3156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HYGEIA WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-13",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A",
"authorized_official_last_name": "DEL RIO",
"authorized_official_first_name": "YISSEL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "702-769-5913"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.