Organization Active NPI

Elite Medical Alliance LLC

  • Family Medicine Physician
  • Vega Alta, PR
National Provider Identifier
1881548204
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELITE MEDICAL ALLIANCE LLC
Practice address
Calle Luis Munoz Rivera
#3
Vega Alta, PR 00692-6417
Phone
(787) 883-0124
Fax
(787) 883-0222
NPI assigned
Feb 23, 2026
Last updated
Feb 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Fernando A Garcia, MD
Title
Vicepresident
Phone
(787) 883-0124

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

Calle Luis Munoz Rivera
#3
Vega Alta, PR 00692-6417

Mailing address

PO Box 4317
Vega Baja, PR 00694-4317
Phone (787) 883-0124

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260505003326 PR Part B Supplier - Clinic/Group Practice 5395213698 Receives reassigned benefits from 1 practitioner
Practice locations: Vega Alta, 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, 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": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1881548204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4317",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006944317",
            "telephone_number": "787-883-0124",
            "fax_number": "787-883-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LUIS MUNOZ RIVERA",
            "address_2": "#3",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006926417",
            "telephone_number": "787-883-0124",
            "fax_number": "787-883-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICEPRESIDENT",
        "authorized_official_telephone_number": "787-883-0124",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.