JM Garmendia MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0053646 Issued in FL

Legal business name

JM GARMENDIA MD PA

Practice address

2636 Oak St
Jacksonville, FL 32204-4506

Phone

(904) 384-5553

Fax

(904) 384-2173

NPI assigned

Aug 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jose Manuel Garmendia, M.D,NPI 1235173139

Title

President

Phone

(904) 384-5553

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Manuel Garmendia, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1235173139
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1497034912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 OAK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044506",
            "telephone_number": "904-384-5553",
            "fax_number": "904-384-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 OAK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044506",
            "telephone_number": "904-384-5553",
            "fax_number": "904-384-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM GARMENDIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "GARMENDIA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-384-5553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0053646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000516689A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052375500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin R. Jivcu, D.O.
• Jlsolana Jr Inc
• JM Family Enterprises, Inc
• JM Family Enterprises, Inc.
• JM Family Enterprises, Inc.
• JM Steil, Inc
• Jmax Support Services, LLC
• Yoomee Jo-Heiry
• Roberto Jo, M.D.
• Schaphir Joachin, COTA/L

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.