Health Advance Las Vegas Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTH ADVANCE LAS VEGAS INC

Practice address

9520 Green Vineyard Ave
Las Vegas, NV 89148-4578

Phone

(702) 513-5507

NPI assigned

Sep 9, 2022

Organization subpart

No

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

Authorized official

Name

Alfred Theodore Carreon Maniago, NP

Title

Nurse Practitioner

Phone

(702) 513-5507

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1346961018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 GREEN VINEYARD AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484578",
            "telephone_number": "702-513-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 GREEN VINEYARD AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484578",
            "telephone_number": "702-513-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ADVANCE LAS VEGAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "MANIAGO",
        "authorized_official_first_name": "ALFRED THEODORE",
        "authorized_official_middle_name": "CARREON",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "702-513-5507",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Your Heart and Mind, LLC
• Healpoint Wound Care LLC
• Health & Care Professional Network
• Health & Care Professional Network
• Health & Care Professional Network LLC
• Health Aligned LLC
• Health and Care Professional Network
• Health and Life Healthcare Center LLC
• Health and Wellness of Nevada LLC
• Health Attack LLC

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.