PRIMARY CARE MEDICAL SERVICES, LLC
NPI 1124774716
Clinic/Center - Primary Care in San Juan, PR

Active since February 23, 2022
1396 CALLE SAN RAFAEL, MEDICAL PAVILION, SUITE 5, SAN JUAN, PR 00910(787) 725-6713(787) 998-6733 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Primary Care Medical Services, Llc NPPES

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

PRIMARY CARE MEDICAL SERVICES, LLC (NPI 1124774716) is a healthcare organization registered as a primary care in San Juan, Puerto Rico and active in the NPI registry since February 2022. The organization lists Christian Rodriguez Vargas, President, as its authorized official.

NPPES Registry Identity

NPI1124774716
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRIMARY CARE MEDICAL SERVICES, LLC
Location Address1396 CALLE SAN RAFAEL, MEDICAL PAVILION, SUITE 5San Juan, PR 00910
Mailing Address1396 Calle San Rafael, Medical Pavilion, Suite 5San Juan, PR 00910 · (787) 725-6713 · Fax (787) 998-6733
Fax(787) 998-6733
Organization SubpartNo
Authorized OfficialChristian Rodriguez VargasPresident · (939) 275-7179
Enumeration DateFebruary 23, 2022
NPPES CertifiedFebruary 23, 2022
✔ NPI 1124774716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X

Other Identifiers 1

Medicaid038331200PR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Primary Care Medical Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Primary Care Medical Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1629685953
1396 CALLE SAN RAFAEL MEDICAL PAVILION, SUITE 5
San Juan, PR 00910
(787) 725-6713
✔ PECOS✔ Accepts Medicare

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 Primary Care Medical Services, LLC's NPI number?

The NPI number for Primary Care Medical Services, LLC is 1124774716. It was assigned to this organization in the NPPES registry on February 23, 2022.

Where is Primary Care Medical Services, LLC located?

Primary Care Medical Services, LLC is located at 1396 Calle San Rafael Medical Pavilion, Suite 5, San Juan, PR 00910. The listed phone number is (787) 725-6713.

What is Primary Care Medical Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Primary Care Medical Services, LLC enrolled in Medicare?

Yes. Primary Care Medical Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primary Care Medical Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Primary Care Medical Services, 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 Primary Care Medical Services, LLC was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.