Organization Active NPI

JLM Medcorp.Service,Psa

Doing business as N/a

  • General Practice Physician
  • Toa Baja, PR
National Provider Identifier
1003994559
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15007 Issued in PR
Legal business name
JLM MEDCORP.SERVICE,PSA
Doing business as
N/a
Practice address
3026 Vereda del Palmar
Urb. Camino del Mar
Toa Baja, PR 00949-4371
Phone
(787) 795-7514
Fax
(787) 795-7514
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jaime J. Morel, M.D.NPI 1063529303
Title
President
Phone
(787) 795-7514

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15007 PR Primary

Addresses

Primary practice location

3026 Vereda del Palmar
Urb. Camino del Mar
Toa Baja, PR 00949-4371

Mailing address

3026 Vereda del Palmar
Urb. Camino del Mar
Toa Baja, PR 00949-4371
Phone (787) 795-7514

Other names 1

  • N/A Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080519000335 PR Part B Supplier - Clinic/Group Practice 6800965799 Receives reassigned benefits from 1 practitioner
Practice locations: Toa Baja, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003994559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 VEREDA DEL PALMAR",
            "address_2": "URB. CAMINO DEL MAR",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494371",
            "telephone_number": "787-795-7514",
            "fax_number": "787-795-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 VEREDA DEL PALMAR",
            "address_2": "URB. CAMINO DEL MAR",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494371",
            "telephone_number": "787-795-7514",
            "fax_number": "787-795-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLM MEDCORP.SERVICE,PSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOREL",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-795-7514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.