Organization Active NPI

J.C. Medical Services Inc.

  • Rehabilitation Clinic/Center
  • Doral, FL
National Provider Identifier
1457616781
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
HCC9773 Issued in FL
Legal business name
J.C. MEDICAL SERVICES INC.
Practice address
3900 NW 79TH Ave
Suite 235
Doral, FL 33166-6556
Phone
(305) 463-7797
Fax
(305) 463-7787
NPI assigned
Jul 12, 2012
Last updated
Sep 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Jose Manuel Martinez
Title
President Adminstrator
Phone
(305) 463-7797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X HCC9773 FL Primary

Addresses

Primary practice location

3900 NW 79TH Ave
Suite 235
Doral, FL 33166-6556

Mailing address

3900 NW 79TH Ave
Suite 235
Doral, FL 33166-6556
Phone (305) 463-7797

Other identifiers 1

IdentifierTypeStateIssuer
HCC9773OtherFLAGENCY FOR HEALTH CARE ADMINISTRATION

National Provider Directory

National Provider Directory
Tax ID family
J C Medical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3900 NW 79th Ave
Ste 235
Doral, FL 33166
Phone (305) 463-7797

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1457616781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE 235",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "305-463-7797",
            "fax_number": "305-463-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE 235",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "305-463-7797",
            "fax_number": "305-463-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.C. MEDICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT ADMINSTRATOR",
        "authorized_official_telephone_number": "305-463-7797"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC9773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR HEALTH CARE ADMINISTRATION",
            "identifier": "HCC9773",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.