JSP Healthcare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JSP HEALTHCARE LLC

Practice address

3223 SW 107TH CT
Miami, FL 33165-3610

Phone

(305) 717-4754

NPI assigned

Nov 17, 2023

Organization subpart

No

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

Authorized official

Name

Jorge Ernesto Sandelis Perez, MD

Title

Sole Owner

Phone

(305) 717-4754

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1083489249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 SW 107TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653610",
            "telephone_number": "305-717-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 SW 107TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653610",
            "telephone_number": "305-717-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSP HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "SANDELIS PEREZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "305-717-4754",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Miami, FL
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• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.