Activate Wound Care LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ACTIVATE WOUND CARE LLC

Practice address

2626 S Rainbow Blvd Ste 102B
Las Vegas, NV 89146-4005

Phone

(702) 845-7292

NPI assigned

Jun 16, 2025

Last updated

Jun 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miguel Adrian Ayuste Yu, MDNPI 1356922678

Title

Manager

Phone

(702) 845-7292

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miguel Adrian Ayuste Yu, MD

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1356922678
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1932095809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 S RAINBOW BLVD STE 102B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891464005",
            "telephone_number": "702-845-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S RAINBOW BLVD STE 102B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891464005",
            "telephone_number": "702-845-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVATE WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "MIGUEL ADRIAN",
        "authorized_official_middle_name": "AYUSTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-845-7292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Act Counseling Center & Henderson, Prof. LLC
• Act Medical Group-Las Vegas Inc
• Action Therapeutics LLC
• Activate Healthcare - CHC Nellis
• Activate Home Health Care LLC
• Active Behavioral Health, LLC
• Active Body Chiropractic
• Active Health Chiropractic LLC
• Active Home Healthcare LLC
• Active Management LLC

• General Practice Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.