Organization Active NPI

First Well Solution

  • Internal Medicine Physician
  • North Las Vegas, NV
National Provider Identifier
1891252292
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FIRST WELL SOLUTION
Practice address
3365 W Craig Rd Ste 6
North Las Vegas, NV 89032-5104
Phone
(702) 666-7836
NPI assigned
Feb 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Jose A Abrahantes, RN
Title
President
Phone
(702) 666-7836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3365 W Craig Rd Ste 6
North Las Vegas, NV 89032-5104

Mailing address

3365 W Craig Rd Ste 6
North Las Vegas, NV 89032-5104
Phone (702) 666-7836

Other identifiers 2

IdentifierTypeStateIssuer
8895OtherNVCOMM
NV3775OtherNVCOMMERCIAL

National Provider Directory

National Provider Directory

Locations

3365 W Craig Rd
Ste 6
North Las Vegas, NV 89032
Phone (702) 666-7836

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1891252292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 W CRAIG RD STE 6",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325104",
            "telephone_number": "702-666-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 W CRAIG RD STE 6",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325104",
            "telephone_number": "702-666-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST WELL SOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "ABRAHANTES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-666-7836",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM",
            "identifier": "8895",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "NV3775",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.