Organization Active NPI

Martin Health Care Clinic LLC

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1649130402
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MARTIN HEALTH CARE CLINIC LLC
Practice address
10097 Flagstaff Butte Ave
Las Vegas, NV 89148-1660
Phone
(702) 344-9900
Fax
(702) 746-4390
NPI assigned
Nov 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Reinel Alcides Junco MartinNPI 1619446515
Title
Owner
Phone
(702) 333-0110

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

10097 Flagstaff Butte Ave
Las Vegas, NV 89148-1660

Mailing address

10097 Flagstaff Butte Ave
Las Vegas, NV 89148-1660
Phone (702) 344-9900

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": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1649130402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10097 FLAGSTAFF BUTTE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481660",
            "telephone_number": "702-344-9900",
            "fax_number": "702-746-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10097 FLAGSTAFF BUTTE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481660",
            "telephone_number": "702-344-9900",
            "fax_number": "702-746-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN HEALTH CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "JUNCO MARTIN",
        "authorized_official_first_name": "REINEL",
        "authorized_official_middle_name": "ALCIDES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-333-0110"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "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 Nov 14, 2025; 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.