MEDICARE: SAN MARTIN SURGERY CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	4784ASC	NV

General Provider Information

NPI Number	:	1023218500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN MARTIN SURGERY CENTER LLC

Provider Business Mailing Address
First Line	:	8530 W SUNSET RD
Second Line	:	STE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2244
Country	:	US
Telephone Number	:	702-789-5700
Fax Number	:	702-789-5656

Provider Business Practice Location Address
First Line	:	8530 W SUNSET RD
Second Line	:	STE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2244
Country	:	US
Telephone Number	:	702-789-5700
Fax Number	:	702-789-5656

Authorized Official
Title or Position	:	OFFICER/AUTHORIZED OFFICIAL
Name	:	ERIC BOON
Credential	:
Telephone Number	:	480-567-0269

Provider Enumeration Date	:	07/23/2007
Last Update Date	:	10/11/2024

Similar Medicare Providers

1710198759 — DR. TIMOTHY THOMAS HAMILTON M.D.
Practice Location Address:

8530 W SUNSET RD STE 110
LAS VEGAS, NV
89113-2244

Practice Phone: 702-240-6482
Practice Fax:

1790746790 — SERRIE C LICO MD
Practice Location Address:

8530 W SUNSET RD STE 110
LAS VEGAS, NV
89113-2244

Practice Phone: 702-240-6482
Practice Fax:

1992859102 — DR. FARHAN SHOAIB AYUBI D.O.
Practice Location Address:

8530 W SUNSET RD STE 110
LAS VEGAS, NV
89113-2244

Practice Phone: 702-240-6482
Practice Fax:

1619167855 — MR. MOHI E ALKADRI M.D
Practice Location Address:

8530 W SUNSET RD STE 110
LAS VEGAS, NV
89113-2244

Practice Phone: 702-240-6482
Practice Fax: 702-240-8529

1316583297 — SMI IMAGING LLC
Practice Location Address:

8530 W SUNSET RD STE 120
LAS VEGAS, NV
89113-2244

Practice Phone: 866-614-8555
Practice Fax:

1760466593 — DR. LUIS A TUPAC MD
Practice Location Address:

3006 S MARYLAND PARKWAY , 520
LAS VEGAS, NV
89109-2244

Practice Phone: 702-733-2998
Practice Fax: 702-733-9741

Directions to “SAN MARTIN SURGERY CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.