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General NPI Number Information
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NPI Number | 1831016542
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Entity Type | Organization
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Legal Business Name | MED-CARE PROVIDERS LLC
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 2801 W CHARLESTON BLVD STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89102-1965
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Country | US
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Telephone | 702-723-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 W CHARLESTON BLVD STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89102-1965
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Country | US
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Telephone | 702-723-0303
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OSMEL VILLARREAL
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Credential | DBA
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Telephone | 702-902-0304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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