Active NPIOrganization

Elite Medical Clinic Of Pr LLC

General Practice in San Juan, Puerto Rico

NPI Number1093347692
Practice location
400 Ave Domenech Ste 412, Las Americas Professional Center, San Juan, PR 00918-3748
Fax
—
Last updated
February 11, 2020

Elite Medical Clinic Of Pr LLC is a healthcare organization based in San Juan, PR. Elite Medical Clinic Of Pr LLC practices in San Juan, PR. The NPI Number for Elite Medical Clinic Of Pr LLC is 1093347692. The current practice location address for Elite Medical Clinic Of Pr LLC is 400 Ave Domenech Ste 412, Las Americas Professional Center, San Juan, PR 00918-3748 and can be reached out via phone at 787-945-0767.

Provider Profile Details

NPI Number
1093347692
Provider Name
Elite Medical Clinic Of Pr LLC
Provider Entity Type
Organization
Address
400 Ave Domenech Ste 412, Las Americas Professional Center, San Juan, PR 00918-3748
Phone Number
787-945-0767
Primary Taxonomy
General Practice · 208D00000X
Organization Subpart
No
Authorized Official
Yadira Dominguez Vazquez, MD · President · 787-239-7575
Provider Enumeration Date
February 11, 2020
Last Update Date
February 11, 2020
Certification Date
February 11, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Ave Domenech Ste 412
Las Americas Professional Center
San Juan, PR 00918-3748
Zip
00918-3748
Phone Number
787-945-0767
San Juan, PR 00918Get directions →

Provider Business Mailing Address Details

Address
400 Ave Domenech Ste 412
Las Americas Professional Center
San Juan, PR 00918-3748
City
San Juan
State
PR
Zip
00918-3748
Phone Number
787-945-0767

License Information

Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elite Medical Clinic Of Pr LLC?

The NPI number of Elite Medical Clinic Of Pr LLC is 1093347692. It was assigned on February 11, 2020 and is currently active in the NPPES registry.

What is the specialty of Elite Medical Clinic Of Pr LLC?

Elite Medical Clinic Of Pr LLC is registered under the primary taxonomy General Practice (code 208D00000X).

Where does Elite Medical Clinic Of Pr LLC practice?

The practice location is 400 Ave Domenech Ste 412, Las Americas Professional Center, San Juan, PR 00918-3748. The office can be reached at 787-945-0767 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093347692 directly on the NPPES registry website.

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