Organization Active NPI

Amanecer Medical Center LLC

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1346964244
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
AMANECER MEDICAL CENTER LLC
Practice address
2619 W Charleston Blvd
Las Vegas, NV 89102-2121
Phone
(786) 552-2957
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Francisco Karel Perez Sanchez, RN
Title
Manager
Phone
(786) 552-2957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2619 W Charleston Blvd
Las Vegas, NV 89102-2121

Mailing address

2619 W Charleston Blvd
Las Vegas, NV 89102-2121

National Provider Directory

National Provider Directory

Locations

2619 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 413-7707

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1346964244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022121",
            "telephone_number": "786-552-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANECER MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "PEREZ SANCHEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "KAREL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-552-2957",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 Oct 4, 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.