Organization Active NPI

J&K Medical Center LLC

  • Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1043027790
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
J&K MEDICAL CENTER LLC
Practice address
9759 San Jose Blvd Ste 5
Jacksonville, FL 32257-5418
Phone
(786) 608-7808
NPI assigned
Dec 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Yasmany Marrero
Title
President
Phone
(786) 608-7808

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9759 San Jose Blvd Ste 5
Jacksonville, FL 32257-5418

Mailing address

9759 San Jose Blvd Ste 5
Jacksonville, FL 32257-5418
Phone (786) 608-7808

National Provider Directory

National Provider Directory

Locations

9759 San Jose Blvd
Ste 202
Jacksonville, FL 32257

9759 San Jose Blvd
Ste 5
Jacksonville, FL 32257
Phone (786) 608-7808

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1043027790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9759 SAN JOSE BLVD STE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575418",
            "telephone_number": "786-608-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9759 SAN JOSE BLVD STE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575418",
            "telephone_number": "786-608-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&K MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "YASMANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-608-7808"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.