Primary Care Medical Services, LLC
Clinic/Center, Primary Care in San Juan, PR. Organization (NPI-2).
Details
- NPI
- 1124774716
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Care Medical Services, LLC
- Organization subpart
- No
- Enumeration date
- Feb 23, 2022
- Certification date
- Feb 23, 2022
- Last updated
- Feb 23, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
1396 Calle San RafaelMedical Pavilion, Suite 5
San Juan, PR 00910
Phone 787-725-6713 · Fax 787-998-6733
Mailing address
1396 Calle San RafaelMedical Pavilion, Suite 5
San Juan, PR 00910
Phone 787-725-6713 · Fax 787-998-6733
Authorized official
Christian Rodriguez Vargas
President
9392757179
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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