Elite Medical Clinic of Pr LLC
NPI 1093347692ActiveOrganization· General Practice· San Juan, PR
General Practice in San Juan, Puerto Rico, registered in NPPES in February 2020. The authorized official on file is Yadira Dominguez Vazquez, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093347692 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 11, 2020 |
| Last updated in NPPES | Feb 11, 2020 |
| Certified by provider | Feb 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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