NPIMap

Organization Active NPI

JCR Medical Coordination, Inc

  • Orthopedic Chiropractor
  • Davie, FL
National Provider Identifier
1649572942
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
X008467-1 Issued in NY
Legal business name
JCR MEDICAL COORDINATION, INC
Practice address
5400 S University Dr
Suite 401-410
Davie, FL 33328-5312
Phone
(954) 835-5543
Fax
(954) 835-5549
NPI assigned
Nov 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Juan Alejandro Perez
Title
President/Owner
Phone
(954) 835-5543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0800X X008467-1 NY Primary

Addresses

Primary practice location

5400 S University Dr
Suite 401-410
Davie, FL 33328-5312

Mailing address

5400 S University Dr
Suite 401-410
Davie, FL 33328-5312
Phone (954) 835-5543

National Provider Directory

National Provider Directory
Tax ID family
JCR Medical Coordination Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1649572942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR",
            "address_2": "SUITE 401-410",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285312",
            "telephone_number": "954-835-5543",
            "fax_number": "954-835-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR",
            "address_2": "SUITE 401-410",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285312",
            "telephone_number": "954-835-5543",
            "fax_number": "954-835-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCR MEDICAL COORDINATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-835-5543"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "NY",
            "license": "X008467-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.