NPIMap

Organization Active NPI

Enlil Medical Center LLC

  • Primary Care Clinic/Center
  • Addison, TX
National Provider Identifier
1487493565
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ENLIL MEDICAL CENTER LLC
Practice address
3900 Vitruvian Way Apt 145
Addison, TX 75001-4005
Phone
(702) 510-9587
Fax
(702) 920-7677
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Yusimi Lopez RamosNPI 1104501717
Title
Owner
Phone
(702) 510-9587

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3900 Vitruvian Way Apt 145
Addison, TX 75001-4005

Mailing address

3900 Vitruvian Way Apt 145
Addison, TX 75001-4005

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1487493565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 VITRUVIAN WAY APT 145",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 VITRUVIAN WAY APT 145",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014005",
            "telephone_number": "702-510-9587",
            "fax_number": "702-920-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ RAMOS",
        "authorized_official_first_name": "YUSIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-510-9587"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.