Organization · Type 2 NPI
Mi Medico Primario, LLC
Primary Care Clinic/Center · Fajardo, PR
NPI number
1356972111
Active
Practice location
410 Ave General Valero Ste 307
Fajardo, PR 00738-3982
Fax (787) 801-7344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center | 261QH0100X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1356972111
Mi Medico Primario, LLC's National Provider Identifier is 1356972111, issued on Jan 30, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fajardo, PR. The record was last updated on Feb 3, 2020.