Organization Active NPI

Primary Internal Med LLC

  • Internal Medicine Physician
  • Caguas, PR
National Provider Identifier
1184351827
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMARY INTERNAL MED LLC
Practice address
F2 Calle C
Caguas, PR 00727-1136
Phone
(787) 315-5855
NPI assigned
Aug 3, 2022
Last updated
Aug 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Dr. Noelia Flores de Jesus, MDNPI 1780242990
Title
Owner
Phone
(787) 315-5855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

F2 Calle C
Caguas, PR 00727-1136

Mailing address

F2 Calle C
Caguas, PR 00727-1136
Phone (787) 315-5855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230326000033 PR Part B Supplier - Clinic/Group Practice 5193199545 Receives reassigned benefits from 8 practitioners
Practice locations: Humacao, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1184351827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F2 CALLE C",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271136",
            "telephone_number": "787-315-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "F2 CALLE C",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271136",
            "telephone_number": "787-315-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY INTERNAL MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "FLORES DE JESUS",
        "authorized_official_first_name": "NOELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-315-5855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.