Healthcare Provider Details

I. General information

NPI: 1922273101
Provider Name (Legal Business Name): RAPID-CARE MEDICAL CLINIC, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2610 S JONES BLVD STE 1
LAS VEGAS NV
89146-5635
US

IV. Provider business mailing address

2610 S JONES BLVD STE 1
LAS VEGAS NV
89146-5635
US

V. Phone/Fax

Practice location:
  • Phone: 702-798-7770
  • Fax: 702-895-7776
Mailing address:
  • Phone: 702-798-7770
  • Fax: 702-895-7776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number10082
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberPA798
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4482
License Number StateNV

VIII. Authorized Official

Name: DEBORAH MELENDEZ
Title or Position: PRESIDENT
Credential:
Phone: 702-798-7770