Healthcare Provider Details

I. General information

NPI: 1639681422
Provider Name (Legal Business Name): UNITY HEALTHCARE CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

968 E SAHARA AVE STE C
LAS VEGAS NV
89104-3022
US

IV. Provider business mailing address

968 E SAHARA AVE STE C
LAS VEGAS NV
89104-3022
US

V. Phone/Fax

Practice location:
  • Phone: 702-718-0217
  • Fax:
Mailing address:
  • Phone: 702-718-0217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNV

VIII. Authorized Official

Name: LUIS ROCHA
Title or Position: CHIEFT EXECUTIVE OFFICER
Credential:
Phone: 702-718-0217