Healthcare Provider Details

I. General information

NPI: 1831016542
Provider Name (Legal Business Name): MED-CARE PROVIDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 W CHARLESTON BLVD STE 101
LAS VEGAS NV
89102-1965
US

IV. Provider business mailing address

2801 W CHARLESTON BLVD STE 101
LAS VEGAS NV
89102-1965
US

V. Phone/Fax

Practice location:
  • Phone: 702-723-0303
  • Fax:
Mailing address:
  • Phone: 702-723-0302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: OSMEL VILLARREAL
Title or Position: CEO
Credential: DBA
Phone: 702-723-0302