MI MEDICO PRIMARIO, LLC (NPI# 1356972111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356972111 |
| Entity Type | Organization |
| Organization Name | MI MEDICO PRIMARIO, LLC |
| Practice Address |
410 Ave General Valero Ste 307 Fajardo PR 00738-3982 |
| Practice Telephone | 7878634058 |
| Practice Fax Number | 7878017344 |
| Mailing Telephone | 7878634058 |
| Mailing Fax Number | 7878017344 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | DR. JOSE ANTONIO ROSARIO (PRESIDENT) |
| Authorized Official Telephone | 7874036333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
410 AVE GENERAL VALERO STE 307 |
| City | FAJARDO |
| State | PR |
| Zip Code | 00738-3982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979015 | Angerosa Tu Salud Inc | Registered Nurse | 1-101 Paseo Esmeralda Fajardo Calle 21, 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-07-10 |
| 1235756339 | Integrate Community Health System | Clinic/Center | Carr # 3, Km 43.8, Bo. Quebrada Fajardo, Fajardo, PR 00738 | 2020-07-06 |
| 1942826110 | Nancy Queren Velazquez I | Registered Nurse | 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-06-23 |
| 1518580943 | My Optical Factory LLC | Optometrist | #61 Calle Garrido Morales W, Fajardo, PR 00738 | 2020-05-20 |
| 1992335830 | Jm Albulance | Ambulance | 157 Calle Celis Aguilera, Fajardo, PR 00738 | 2020-01-20 |
| 1376180885 | Wilma Enid Figueroa | Social Worker | Calle F # 86, Monte Mar, Fajardo, PR 00738 | 2019-12-03 |
| 1144879768 | Danny Josue Mendez Gomez | Chiropractor | Centro Quiropractico De Puerto Rico, Fajardo Market Square, Carr 3 Km 45.4, Fajardo, PR 00738 | 2019-09-06 |
| 1316595804 | Ceiba Medical Services Inc | Family Medicine | 195 Ave Lauro Inero, Ceiba, PR 00738 | 2019-08-28 |
| 1841847142 | Ecb Humacao LLC | Optometrist | Centro Comercial Plaza Fajardo Local 125 Carr 3 Km 43.3, Barrio Quebrada Abajo, Fajardo, PR 00738 | 2019-08-21 |
| 1134785017 | Genesis Medical Supply and Medical Equipment | Durable Medical Equipment & Medical Supplies | G10 Avenida Principal Suite 2, Urb Baralt, Fajardo, PR 00738 | 2019-05-15 |
| Find all providers in zip 00738 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922368448 | Dr. Howard J. Wetterer Duclerc,csp | Clinic/Center | 313 Ave General Valero, Fajardo, PR 00738-4855 | 2012-05-17 |
| 1649577263 | Pario-obgyn, Psc | Clinic/Center | Torre Medica San Pablo Av. General Valero 410, Suite 207, Fajardo, PR 00738 | 2011-02-16 |
| 1902125750 | St. Ralphs Medical Group | Clinic/Center | J1 Calle Principal, Urb Baralt, Fajardo, PR 00738-3771 | 2010-05-19 |
| 1194936203 | Centro Integral De Medicina | Clinic/Center | Ave. Conquistador A45, Monte Brisas, Fajardo, PR 00738 | 2007-05-24 |
| 1588113310 | Mi Medico Primario Inc | Clinic/Center | 410 Ave General Valero, Suite 307, Fajardo, PR 00738-3949 | 2016-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353791 | Clinica Medicina Primaria Y Preventiva Dr Angel M Ortiz Ortega | Clinic/Center | Bo Tomas De Castro 2, Carr 183 Km 4.8, Caguas, PR 00726 | 2020-10-09 |
| 1841806221 | Josue Orlando Valdes Delgado | Clinic/Center | 46 Calle Cristobal Colon, Yabucoa, PR 00767-3326 | 2020-09-21 |
| 1265058846 | Platinum Group Primary Care Services | Clinic/Center | Carr #2 Km 39.7, Vega Baja, PR 00693 | 2020-06-19 |
| 1306468707 | Wellness 360 Corp | Clinic/Center | Road 1 Km 117.7, Ward Arus, Juana Diaz, PR 00795 | 2020-05-08 |
| 1871113530 | Cossma, Inc. | Clinic/Center | Carr #31 Km 9.6 Bo Rio Blanco, Naguabo, PR 00718 | 2020-04-23 |
| 1598385254 | Cossma, Inc. | Clinic/Center | Bo Juan Martin Carr 901 Km 1.6, Yabucoa, PR 00767 | 2020-04-23 |
| 1811525447 | Yauco Optometry Care LLC | Clinic/Center | 28 Santo Domingo Street, Yauco, PR 00698 | 2020-03-30 |
| 1609417039 | Avg Medical Service Csp | Clinic/Center | 107 Bo Mariana, Naguabo, PR 00718 | 2019-10-07 |
| 1477102424 | Servicios Medicos Del Oeste | Clinic/Center | Barrio Malpaso, Carr 417 Km 3.0, Aguada, PR 00602-0060 | 2019-09-11 |
| 1558914853 | Dr Soto Medical Psc | Clinic/Center | Edificio Plaza Quintana, Carr 111 Km 11.5 Bo Capa, Moca, PR 00676 | 2019-07-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.