Organization Active NPI

Mi Doc Medical Institute LLC

  • General Practice Physician
  • Humacao, PR
National Provider Identifier
1295525756
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MI DOC MEDICAL INSTITUTE LLC
Practice address
300 Sector Cuesta Los Jobos
Humacao, PR 00792-8630
Phone
(787) 475-5444
NPI assigned
May 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Dr. Lorna Diaz Lozada, MDNPI 1629482476
Title
President
Phone
(787) 475-5444

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

300 Sector Cuesta Los Jobos
Humacao, PR 00792-8630

Mailing address

HC 2 Box 13498
Humacao, PR 00791-9364
Phone (787) 475-5444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250702004301 PR Part B Supplier - Clinic/Group Practice 1456864354 Receives reassigned benefits from 1 practitioner
Practice locations: Juncos, PR

National Provider Directory

National Provider Directory

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": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1295525756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 13498",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007919364",
            "telephone_number": "787-475-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SECTOR CUESTA LOS JOBOS",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007928630",
            "telephone_number": "787-475-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI DOC MEDICAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "DIAZ LOZADA",
        "authorized_official_first_name": "LORNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-475-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.