Active NPI
Medicina Primaria Y Preventiva MD LLC
- Family Medicine Physician
- Aibonito, PR
National Provider Identifier
1962290320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEDICINA PRIMARIA Y PREVENTIVA MD LLC
- Practice address
- A-6 Urb.Villa Verde
Carretera 722
Aibonito, PR 00705-4118 - Phone
- (787) 991-0934
- NPI assigned
- Apr 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maria M Martinez Ortiz, M.D.
- Title
- Medical Director
- Phone
- (787) 361-7635
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
A-6 Urb.Villa Verde
Carretera 722
Aibonito, PR 00705-4118
Mailing address
A6 Urb Villa Verde
Aibonito, PR 00705-4118
Phone (787) 991-0934
Other names 1
- MEDICINA PRIMARIA Y PREVENTIVA MD LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260302002962 | PR | Part B Supplier - Clinic/Group Practice | 5193207918 |
Receives reassigned benefits from 1 practitioner Practice locations: Aibonito, PR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Aibonito, PR
- NPI 1902845167
Family Medicine, PR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748217600000",
"number": "1962290320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A6 URB VILLA VERDE",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007054118",
"telephone_number": "787-991-0934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A-6 URB.VILLA VERDE",
"address_2": "CARRETERA 722",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007054118",
"telephone_number": "787-991-0934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICINA PRIMARIA Y PREVENTIVA MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-28",
"last_updated": "2025-05-26",
"certification_date": "2025-05-26",
"status": "A",
"authorized_official_last_name": "MARTINEZ ORTIZ",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "787-361-7635",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICINA PRIMARIA Y PREVENTIVA MD LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.