Provider Demographics
NPI:1962290320
Name:MEDICINA PRIMARIA Y PREVENTIVA MD LLC
Entity type:Organization
Organization Name:MEDICINA PRIMARIA Y PREVENTIVA MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTINEZ ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-361-7635
Mailing Address - Street 1:A6 URB VILLA VERDE
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-4118
Mailing Address - Country:US
Mailing Address - Phone:787-991-0934
Mailing Address - Fax:
Practice Address - Street 1:A-6 URB.VILLA VERDE
Practice Address - Street 2:CARRETERA 722
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-4118
Practice Address - Country:US
Practice Address - Phone:787-991-0934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty