Organization Active NPI

PJ Medical Supplies and Prosthetics Corp

  • Customized Equipment (DME)
  • San Juan, PR
National Provider Identifier
1326346206
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
PJ MEDICAL SUPPLIES AND PROSTHETICS CORP
Practice address
1418 Ave Americo Miranda
Urb Caparra Terrace
San Juan, PR 00921-2128
Phone
(787) 782-2866
NPI assigned
Mar 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Mr. Jorge R Serrat
Title
President
Phone
(787) 782-2866

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X PR Primary
Prosthetic/Orthotic Supplier 335E00000X PR

Addresses

Primary practice location

1418 Ave Americo Miranda
Urb Caparra Terrace
San Juan, PR 00921-2128

Mailing address

1418 Ave Americo Miranda
Urb Caparra Terrace
San Juan, PR 00921-2128
Phone (787) 782-2866

National Provider Directory

National Provider Directory

Locations

1418 Ave Americo Miranda
San Juan, PR 00921
Phone (787) 782-2866

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1326346206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 AVE AMERICO MIRANDA",
            "address_2": "URB CAPARRA TERRACE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212128",
            "telephone_number": "787-782-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 AVE AMERICO MIRANDA",
            "address_2": "URB CAPARRA TERRACE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212128",
            "telephone_number": "787-782-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJ MEDICAL SUPPLIES AND PROSTHETICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "SERRAT",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-782-2866",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PR",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.