Organization Active NPI

JVC Rehabilitation Medicine Services LLC

  • Physical Medicine & Rehabilitation Physician
  • Arecibo, PR
National Provider Identifier
1285153775
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
19648 Issued in PR
Legal business name
JVC REHABILITATION MEDICINE SERVICES LLC
Practice address
Carr 2 KM 80.1
Arecibo Medical Center
Arecibo, PR 00612
Phone
(787) 880-7411
NPI assigned
Sep 15, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Juan N.a. Valentin, MDNPI 1154761088
Title
Sole Member
Phone
(787) 880-7411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 19648 PR Primary

Addresses

Primary practice location

Carr 2 KM 80.1
Arecibo Medical Center
Arecibo, PR 00612

Mailing address

PO Box 140508
Arecibo, PR 00614-0508
Phone (787) 880-7411

Other practice location 1

Carr 129 km 29.1
Lares, PR 00669
Phone (787) 897-6611

Other identifiers 1

IdentifierTypeStateIssuer
1154761088MedicaidPR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1285153775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140508",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140508",
            "telephone_number": "787-880-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 80.1",
            "address_2": "ARECIBO MEDICAL CENTER",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-880-7411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 129 km 29.1",
            "address_purpose": "LOCATION",
            "city": "Lares",
            "state": "PR",
            "postal_code": "00669",
            "country_code": "US",
            "telephone_number": "787-897-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JVC REHABILITATION MEDICINE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "N.A.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "787-880-7411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "19648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154761088",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.