Organization Active NPI

TH First Well Team Corp

  • Internal Medicine Physician
  • North Las Vegas, NV
National Provider Identifier
1063006203
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TH FIRST WELL TEAM CORP
Practice address
3365 W Craig Rd Ste 19
North Las Vegas, NV 89032-5127
Phone
(725) 203-9358
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mairelis Rodrigues Milanes, ARNP
Title
Ceo
Phone
(725) 203-9358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3365 W Craig Rd Ste 19
North Las Vegas, NV 89032-5127

Mailing address

3365 W Craig Rd Ste 19
North Las Vegas, NV 89032-5127
Phone (725) 203-9358

Other identifiers 1

IdentifierTypeStateIssuer
NV13506OtherNVCOMMERCIAL INS

National Provider Directory

National Provider Directory

Locations

3365 W Craig Rd
Ste 19
North Las Vegas, NV 89032
Phone (702) 697-2005

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1063006203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 W CRAIG RD STE 19",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325127",
            "telephone_number": "725-203-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 W CRAIG RD STE 19",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325127",
            "telephone_number": "725-203-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TH FIRST WELL TEAM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUES MILANES",
        "authorized_official_first_name": "MAIRELIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "725-203-9358",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INS",
            "identifier": "NV13506",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.