PRIME MEDICAL CENTER LLC
NPI 1043936990
Clinic/Center - Health Service in Las Vegas, NV

Q: What is Prime Medical Center LLC's NPI number?

The NPI number for Prime Medical Center LLC is 1043936990. It was assigned to this organization in the NPPES registry on October 12, 2022.

Q: What is Prime Medical Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since October 12, 2022

1917 ROSE CORAL AVE, LAS VEGAS, NV 89106(786) 870-2904 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2025, Oct 12, 2022 (2 updates tracked since 2022).

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About Prime Medical Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIME MEDICAL CENTER LLC (NPI 1043936990) is a healthcare organization registered as a health service in Las Vegas, Nevada and active in the NPI registry since October 2022. The organization lists Jorge Puebla Isaac, Manager, as its authorized official.

NPPES Registry Identity

NPI1043936990

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NamePRIME MEDICAL CENTER LLC

Location Address1917 ROSE CORAL AVELas Vegas, NV 89106-1807

Mailing Address2621 W Charleston BlvdLas Vegas, NV 89102-2121

Phone(786) 870-2904

Organization SubpartNo

Authorized OfficialJorge Puebla IsaacManager · (786) 870-2904

Enumeration DateOctober 12, 2022

Last NPPES UpdateJune 10, 20252 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1043936990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

1917 ROSE CORAL AVE, Las Vegas, NV 89106

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prime Medical Center LLC's NPI number?

The NPI number for Prime Medical Center LLC is 1043936990. It was assigned to this organization in the NPPES registry on October 12, 2022.

Where is Prime Medical Center LLC located?

Prime Medical Center LLC is located at 1917 Rose Coral Ave, Las Vegas, NV 89106. The listed phone number is (786) 870-2904.

What is Prime Medical Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Prime Medical Center LLC was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.