Organization Active NPI

JLM Medical Service Corp

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1477872356
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MA58262 Issued in FL
Legal business name
JLM MEDICAL SERVICE CORP
Practice address
330 SW 27TH Ave
Suite 703
Miami, FL 33135-2961
Phone
(786) 294-0075
Fax
(786) 360-1634
NPI assigned
May 18, 2010
Last updated
May 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Miss Mirta Plasencia, MISS
Title
President
Phone
(786) 294-0075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MA58262 FL Primary

Addresses

Primary practice location

330 SW 27TH Ave
Suite 703
Miami, FL 33135-2961

Mailing address

330 SW 27TH Ave
Suite 703
Miami, FL 33135-2961
Phone (786) 294-0075

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1477872356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE",
            "address_2": "SUITE 703",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352961",
            "telephone_number": "786-294-0075",
            "fax_number": "786-360-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE",
            "address_2": "SUITE 703",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352961",
            "telephone_number": "786-294-0075",
            "fax_number": "786-360-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLM MEDICAL SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "PLASENCIA",
        "authorized_official_first_name": "MIRTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-294-0075",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MISS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MA58262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.