JLJ Medical LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

JLJ MEDICAL LLC

Practice address

Go-6B Ave Roberto Sanchez Vilella
Urb. Country Club
Carolina, PR 00982-0098

Phone

(623) 810-4052

NPI assigned

Mar 1, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jeremiah Jeffers, MDNPI 1497041537

Title

Owner/Physician

Phone

(623) 810-4052

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremiah Jeffers, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Bayamon, PR
  • NPI 1497041537
  Medicare reassignment NPD Authorized official
• Pablo Andres Fontanet Sanchez, MD

  • General Practice Physician
  • Carolina, PR
  • NPI 1780176768
  NPD (past)

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1114626934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE PLATANILLO 1908",
            "address_2": "URB SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GO-6B AVE ROBERTO SANCHEZ VILELLA",
            "address_2": "URB. COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009820098",
            "telephone_number": "623-810-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLJ MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "623-810-4052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497041537",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivonne Z Jimenez-Velazquez, MD, FACP
• Collette Marie Jimenez, M.A.
• Nelson Luis Jimenez II, PSYCHOLOGIST, M.A.
• Vanessa Jimenez
• Jireh a Tu Cita Inc.
• Joel Estrada Mangual
• William A. Jones-Garrastegui
• Miguel Angel Jordan, M.D.
• Valerie Jorge Vazquez, MS
• Wanda Angelica Jorge-Barreto, M.D.

• Pain Medicine (Anesthesiology) Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Pain Medicine (Anesthesiology) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.