Active NPIOrganization

Mi Medico Primario, LLC

Clinic/Center, Primary Care in Fajardo, Puerto Rico

NPI Number1356972111
Practice location
410 Ave General Valero Ste 307, Fajardo, PR 00738-3982
Fax
787-801-7344
Last updated
February 3, 2020

Mi Medico Primario, LLC is a healthcare organization based in Fajardo, PR. Mi Medico Primario, LLC practices in Fajardo, PR. The NPI Number for Mi Medico Primario, LLC is 1356972111. The current practice location address for Mi Medico Primario, LLC is 410 Ave General Valero Ste 307, Fajardo, PR 00738-3982 and can be reached out via phone at 787-863-4058 and via fax at 787-801-7344.

Provider Profile Details

NPI Number
1356972111
Provider Name
Mi Medico Primario, LLC
Provider Entity Type
Organization
Address
410 Ave General Valero Ste 307, Fajardo, PR 00738-3982
Phone Number
787-863-4058
Fax Number
787-801-7344
Primary Taxonomy
Clinic/Center, Primary Care · 261QP2300X
Organization Subpart
No
Authorized Official
Dr. Jose Antonio Rosario, MD · President · 787-403-6333
Provider Enumeration Date
January 30, 2020
Last Update Date
February 3, 2020
Certification Date
February 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
410 Ave General Valero Ste 307
Fajardo, PR 00738-3982
Zip
00738-3982
Phone Number
787-863-4058
Fax Number
787-801-7344
Fajardo, PR 00738Get directions →

Provider Business Mailing Address Details

Address
410 Ave General Valero Ste 307
Fajardo, PR 00738-3982
City
Fajardo
State
PR
Zip
00738-3982
Phone Number
787-863-4058
Fax Number
787-801-7344

License Information

Taxonomy (1)
Clinic/Center, Health Services · 261QH0100X
Taxonomy (2)
Clinic/Center, Primary Care · 261QP2300X · 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 Mi Medico Primario, LLC?

The NPI number of Mi Medico Primario, LLC is 1356972111. It was assigned on January 30, 2020 and is currently active in the NPPES registry.

What is the specialty of Mi Medico Primario, LLC?

Mi Medico Primario, LLC is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X).

Where does Mi Medico Primario, LLC practice?

The practice location is 410 Ave General Valero Ste 307, Fajardo, PR 00738-3982. The office can be reached at 787-863-4058 (phone) or 787-801-7344 (fax).

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 1356972111 directly on the NPPES registry website.

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