Elite Medical Clinic of Pr LLC
NPI 1093347692 · General Practice Physician · San Juan, PR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elite Medical Clinic of Pr LLC is a General Practice Physician organization in San Juan, PR (NPI 1093347692).
Provider details
- NPI number
- 1093347692
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yadira Dominguez Vazquez, President(787) 239-7575
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-02-11
- Last updated
- 2020-02-11
- Certified
- 2020-02-11
Frequently asked questions
- What is Elite Medical Clinic of Pr LLC's NPI number?
- Elite Medical Clinic of Pr LLC's National Provider Identifier (NPI) is 1093347692, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Medical Clinic of Pr LLC?
- Elite Medical Clinic of Pr LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Elite Medical Clinic of Pr LLC located?
- Elite Medical Clinic of Pr LLC's practice location on file with NPPES is 400 Ave Domenech Ste 412, San Juan, PR 00918-3748.
- What is Elite Medical Clinic of Pr LLC's phone number?
- The practice phone number listed in the NPPES registry for Elite Medical Clinic of Pr LLC is (787) 945-0767.
- Does Elite Medical Clinic of Pr LLC accept Medicare?
- Elite Medical Clinic of Pr LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elite Medical Clinic of Pr LLC?
- The authorized official listed on Elite Medical Clinic of Pr LLC's NPPES record is Yadira Dominguez Vazquez, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Medical Clinic of Pr LLC's NPI active?
- Yes — Elite Medical Clinic of Pr LLC's NPI (1093347692) is active in the NPPES registry as of the last update on 2020-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.