{"npi":"1124774716","type":"NPI-2","status":"active","name":{"display":"Primary Care Medical Services, LLC","other":[],"organization_name":"PRIMARY CARE MEDICAL SERVICES, LLC","authorised_official":"Christian Rodriguez Vargas"},"specialty":{"primary_taxonomy":"261QP2300X","primary_taxonomy_description":"Primary Care Clinic","slug":"primary-care-clinic","schema_org_specialty":"PrimaryCare","all":[{"code":"261QP2300X","description":"Primary Care Clinic","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1396 CALLE SAN RAFAEL","city":"SAN JUAN","state":"PR","postal_code":"00910","country_code":"US","street_2":"MEDICAL PAVILION, SUITE 5","phone":"7877256713","fax":"7879986733"},{"purpose":"MAILING","street_1":"1396 CALLE SAN RAFAEL","city":"SAN JUAN","state":"PR","postal_code":"00910","country_code":"US","street_2":"MEDICAL PAVILION, SUITE 5","phone":"7877256713","fax":"7879986733"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"038331200","state":"PR","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20231221000167","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PR","pac_id":"6608226303"}]},"enumeration_date":"2022-02-23","last_updated":"2022-02-23","_meta":{"source":"NPPES","snapshot_date":"2022-02-23","doc_url":"https://findmynpi.com/api"}}