NPIMap

Organization Active NPI

St Rafael Medicine LLC

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1972215325
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ST RAFAEL MEDICINE LLC
Practice address
3340 Topaz St
Las Vegas, NV 89121-3903
Phone
(702) 461-5741
NPI assigned
Dec 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Juana Gonzalez
Title
Owner
Phone
(702) 461-5741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3340 Topaz St
Las Vegas, NV 89121-3903

Mailing address

3340 Topaz St
Las Vegas, NV 89121-3903

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1972215325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 TOPAZ ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 TOPAZ ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213903",
            "telephone_number": "702-461-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST RAFAEL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JUANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-461-5741"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Apr 26, 2023; 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.