Active NPI
Jr Medical PSC
- General Practice Physician
- Guanica, PR
National Provider Identifier
1164837019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 17697
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17697 | Other | PR | LICENCE NUMBER |
National Provider Directory
National Provider DirectoryNPI 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.