JDM Medical Solution Inc

Primary specialty

Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X

Legal business name

JDM MEDICAL SOLUTION INC

Practice address

425 Carr 693 Ste 1
Dorado, PR 00646-4817

Phone

(787) 221-2751

NPI assigned

May 21, 2021

Organization subpart

Yes

Parent organization

JDM MEDICAL SOLUTION INCAs reported in NPPES

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

Authorized official

Name

Miss Jazmin I Soto I, MICROBIOLOGY

Title

Ceo

Phone

(787) 943-0325

Specialties & licenses 1

Addresses

Other names 2

• First Medical Other name
• SSS Other name

Electronic endpoints 1

Part of

JDM Medical Solution Inc

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1487229563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CARR 693 STE 1",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464817",
            "telephone_number": "787-221-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CARR 693 STE 1",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464817",
            "telephone_number": "787-221-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDM MEDICAL SOLUTION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JDM MEDICAL SOLUTION INC",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "JAZMIN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-943-0325",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MICROBIOLOGY"
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jdmmedicalsolutionpr@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "425 Carr 693 Ste 1",
            "city": "Dorado",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006464817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "First Medical",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SSS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.