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NPI Code Detail

MEDICARE: DR. CELESTIN VEGAS VASCULAR MEDICINE, PLLC

MEDICARE: DR. CELESTIN VEGAS VASCULAR MEDICINE, PLLC
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
1246XC2903XVascular Specialist/Technologist Cardiovascular

General Provider Information

NPI Number : 1255192407
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. CELESTIN VEGAS VASCULAR MEDICINE, PLLC
Provider Business Mailing Address
First Line : 8905 W POST RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2429
Country : US
Telephone Number : 877-827-2362
Fax Number : 877-827-2362
Provider Business Practice Location Address
First Line : 8905 W POST RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2429
Country : US
Telephone Number : 877-827-2362
Fax Number : 877-827-2362
Authorized Official
Title or Position : CEO/OWNER
Name : CARMEL AUDREY CELESTIN
Credential : MD
Telephone Number : 877-827-2362
Provider Enumeration Date : 01/16/2024
Last Update Date : 01/05/2026

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