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ELITE MEDICAL CLINIC OF PR LLC
NPI 1093347692
General Practice in San Juan, PR

Active since February 11, 2020
400 AVE DOMENECH STE 412, LAS AMERICAS PROFESSIONAL CENTER, SAN JUAN, PR 00918(787) 945-0767 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elite Medical Clinic Of Pr Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE MEDICAL CLINIC OF PR LLC (NPI 1093347692) is a healthcare organization registered as a general practice in San Juan, Puerto Rico and active in the NPI registry since February 2020. The organization lists Yadira Dominguez Vazquez, President, as its authorized official.

NPPES Registry Identity

NPI1093347692
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameELITE MEDICAL CLINIC OF PR LLC
Location Address400 AVE DOMENECH STE 412, LAS AMERICAS PROFESSIONAL CENTERSan Juan, PR 00918-3748
Mailing Address400 Ave Domenech Ste 412, Las Americas Professional CenterSan Juan, PR 00918-3748 · (787) 945-0767
Phone(787) 945-0767
Organization SubpartNo
Authorized OfficialYadira Dominguez VazquezPresident · (787) 239-7575
Enumeration DateFebruary 11, 2020
✔ NPI 1093347692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Medical Clinic Of Pr Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Elite Medical Clinic Of Pr LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Hector Casas, M.D.
General Practice
NPI 1255703351
A-14 CALLE 1 URB. REXVILLE
Bayamon, PR 00957
(787) 242-5535
✔ PECOS
Yadira Dominguez Vazquez, M.D.
General Practice
NPI 1003288143
A14 CALLE 1 URB. REXVILLE
Bayamon, PR 00957
(787) 239-7575
✔ PECOS

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Medical Clinic Of Pr LLC's NPI number?

The NPI number for Elite Medical Clinic Of Pr LLC is 1093347692. It was assigned to this organization in the NPPES registry on February 11, 2020.

Where is Elite Medical Clinic Of Pr LLC located?

Elite Medical Clinic Of Pr LLC is located at 400 Ave Domenech Ste 412 Las Americas Professional Center, San Juan, PR 00918. The listed phone number is (787) 945-0767.

What is Elite Medical Clinic Of Pr LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Elite Medical Clinic Of Pr LLC enrolled in Medicare?

Yes. Elite Medical Clinic Of Pr LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Medical Clinic Of Pr LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Practice, reassign their Medicare billing to Elite Medical Clinic Of Pr LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elite Medical Clinic Of Pr LLC was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.