Organization Active NPI

JVT Medical Center LLC

  • Primary Care Clinic/Center
  • San Juan, PR
National Provider Identifier
1639420771
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
5441 Issued in PR
Legal business name
JVT MEDICAL CENTER LLC
Practice address
864 Ave San Patricio
Las Lomas
San Juan, PR 00921-1308
Phone
(787) 792-3203
Fax
(787) 273-6970
NPI assigned
Sep 28, 2012
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Maricarmen Quinones, MDNPI 1164606141
Title
President/Primary Physician
Phone
(787) 792-3203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Primary Care Clinic/Center 261QP2300X 5441 PR Primary

Addresses

Primary practice location

864 Ave San Patricio
Las Lomas
San Juan, PR 00921-1308

Mailing address

96 Valle Escondido
San Juan, PR 00971
Phone (787) 792-3203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140502001504 PR Part B Supplier - Clinic/Group Practice 8921231697 Receives reassigned benefits from 2 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1639420771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 VALLE ESCONDIDO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00971",
            "telephone_number": "787-792-3203",
            "fax_number": "787-273-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 AVE SAN PATRICIO",
            "address_2": "LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211308",
            "telephone_number": "787-792-3203",
            "fax_number": "787-273-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JVT MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "MARICARMEN",
        "authorized_official_title_or_position": "PRESIDENT/PRIMARY PHYSICIAN",
        "authorized_official_telephone_number": "787-792-3203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "5441",
            "primary": true
        }
    ],
    "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 Feb 28, 2024; 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.