Organization Active NPI

Socorro Veridian Medical Center PLLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1073438164
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SOCORRO VERIDIAN MEDICAL CENTER PLLC
Practice address
3430 E Flamingo Rd Ste 360G
Las Vegas, NV 89121-5003
Phone
(702) 779-3753
NPI assigned
Aug 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Luis Enrique Socorro Lopez, APRN-CNP
Title
Owner
Phone
(702) 510-9587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3430 E Flamingo Rd Ste 360G
Las Vegas, NV 89121-5003

Mailing address

3430 E Flamingo Rd Ste 360G
Las Vegas, NV 89121-5003

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1073438164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 360G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 360G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215003",
            "telephone_number": "702-779-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCORRO VERIDIAN MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "SOCORRO LOPEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-510-9587",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 10, 2026; 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.