Organization Active NPI

Jolly Medical Services Corp

  • Durable Medical Equipment & Medical Supplies
  • Bayamon, PR
National Provider Identifier
1215092812
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4723500001 Issued in PR
Legal business name
JOLLY MEDICAL SERVICES CORP
Practice address
Urb. Santa Rosa Carr. 174
Bloque 21 #25
Bayamon, PR 00959
Phone
(787) 995-3459
NPI assigned
Dec 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Joaliz Rivera Rodriguez
Title
President
Phone
(787) 995-3459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4723500001 PR Primary

Addresses

Primary practice location

Urb. Santa Rosa Carr. 174
Bloque 21 #25
Bayamon, PR 00959

Mailing address

PO Box 6728
Santa Rosa Unit
Bayamon, PR 00960-5728
Phone (787) 995-3459

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215092812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6728",
            "address_2": "SANTA ROSA UNIT",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605728",
            "telephone_number": "787-995-3459",
            "fax_number": "787-995-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. SANTA ROSA CARR. 174",
            "address_2": "BLOQUE 21 #25",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-995-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLY MEDICAL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA  RODRIGUEZ",
        "authorized_official_first_name": "JOALIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-995-3459",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "4723500001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.