Organization Active NPI

Jr Medical PSC

  • General Practice Physician
  • Guanica, PR
National Provider Identifier
1164837019
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17697 Issued in PR
Legal business name
JR MEDICAL PSC
Practice address
64 Calle San Miguel
Guanica, PR 00653-2809
Phone
(787) 821-7500
Fax
(787) 821-7500
NPI assigned
Jun 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Dr. Jerimer J Rodriguez Velez
Title
MD
Phone
(787) 821-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 17697 PR Primary

Addresses

Primary practice location

64 Calle San Miguel
Guanica, PR 00653-2809

Mailing address

PO Box 876
Yauco, PR 00698-0876
Phone (787) 821-7500

Other identifiers 1

IdentifierTypeStateIssuer
17697OtherPRLICENCE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1164837019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006980876",
            "telephone_number": "787-821-7500",
            "fax_number": "787-821-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CALLE SAN MIGUEL",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "006532809",
            "telephone_number": "787-821-7500",
            "fax_number": "787-821-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR MEDICAL PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-29",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ VELEZ",
        "authorized_official_first_name": "JERIMER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-821-7500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "17697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "17697",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guanica, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.