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NPI Code Detail

MEDICARE: MEDPLUS WELLNESS, LLC

MEDICARE: MEDPLUS WELLNESS, 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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1922957638
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDPLUS WELLNESS, LLC
Provider Business Mailing Address
First Line : 3879 COLUMBUS ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121
Country : US
Telephone Number : 702-415-0197
Fax Number :
Provider Business Practice Location Address
First Line : 5052 S. JONES BLVD
Second Line : STE 145
City : LAS VEGAS
State : NV
Zip : 89118-0556
Country : US
Telephone Number : 702-878-8888
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : SELENE ARCIGA DE DIAZ
Credential :
Telephone Number : 702-415-0197
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “MEDPLUS WELLNESS, LLC ” Practice Location

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