MI MEDICO PRIMARIO, LLC
NPI 1356972111
Clinic/Center - Primary Care in Fajardo, PR
About Mi Medico Primario, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MI MEDICO PRIMARIO, LLC (NPI 1356972111) is a healthcare organization registered as a primary care in Fajardo, Puerto Rico and active in the NPI registry since January 2020. The organization lists Jose Antonio Rosario, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mi Medico Primario, 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 Mi Medico Primario, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Mi Medico Primario, LLC's NPI number?
The NPI number for Mi Medico Primario, LLC is 1356972111. It was assigned to this organization in the NPPES registry on January 30, 2020.
Where is Mi Medico Primario, LLC located?
Mi Medico Primario, LLC is located at 410 Ave General Valero Ste 307, Fajardo, PR 00738. The listed phone number is (787) 863-4058.
What is Mi Medico Primario, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Mi Medico Primario, LLC enrolled in Medicare?
Yes. Mi Medico Primario, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mi Medico Primario, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Mi Medico Primario, 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 Mi Medico Primario, LLC was last updated on February 3, 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.
# Mi Medico Primario, Llc · NPI 1356972111
Primary Care organization in Fajardo, Puerto Rico. Organization record, active in the CMS NPPES registry since January 30, 2020.
## Identity
- **NPI:** 1356972111 (Entity type: Organization)
- **Enumerated:** January 30, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jose Rosario, PRESIDENT
## Practice location
- **Address:** 410 AVE GENERAL VALERO STE 307, Fajardo, PR 00738-3982
- **Phone:** (787) 863-4058 · **Fax:** (787) 801-7344
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1356972111) · Data from the CMS NPPES public registry.