JD Primary Care Center Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JD PRIMARY CARE CENTER CORP

Practice address

77 Calle Munoz Rivera Esq Mario Braschi
Juana Diaz, PR 00795-1613

Phone

(787) 580-7329

NPI assigned

Aug 31, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Ricardo Luis Colon, MD

Title

Medico

Phone

(787) 223-2253

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1013793587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CALLE MUNOZ RIVERA ESQ MARIO BRASCHI",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951613",
            "telephone_number": "787-580-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE MUNOZ RIVERA ESQ MARIO BRASCHI",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951613",
            "telephone_number": "787-580-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD PRIMARY CARE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "MEDICO",
        "authorized_official_telephone_number": "787-223-2253",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jose a Maiz Dedos

• General Practice Physician in Juana Diaz, PR
• Providers in Juana Diaz, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.