Organization Active NPI

Primedical LLC

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1154273670
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PRIMEDICAL LLC
Practice address
54 Calle Resolucion Ste 401
San Juan, PR 00920-2729
Phone
(787) 922-9001
NPI assigned
Feb 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roxana Diaz, MD
Title
Owner
Phone
(787) 922-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

54 Calle Resolucion Ste 401
San Juan, PR 00920-2729

Mailing address

54 Calle Resolucion Ste 401
San Juan, PR 00920-2729
Phone (787) 922-9001

National Provider Directory

National Provider Directory

Locations

54 Calle Resolucion
Ste 401
San Juan, PR 00920
Phone (787) 559-1105

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1154273670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CALLE RESOLUCION STE 401",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009202729",
            "telephone_number": "787-922-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 CALLE RESOLUCION STE 401",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009202729",
            "telephone_number": "787-922-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-922-9001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.