JMG Surgical Services PSC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

17272 Issued in PR

Legal business name

JMG SURGICAL SERVICES PSC

Practice address

15 Doctor Basora
Hospital Perea
Mayaguez, PR 00680

Phone

(787) 834-0101

NPI assigned

Jun 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Javier Marquez, M.D.

Title

President

Phone

(787) 410-0159

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 5

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

• Marian Baez Rodriguez, M.D.

  • Surgery Physician
  • Mayaguez, PR
  • NPI 1902094998
  Medicare reassignment Care Compare group NPD
• Javier Marquez Graciani, MD

  • Surgery Physician
  • Mayaguez, PR
  • NPI 1518120435
  Medicare reassignment Care Compare group NPD
• Fernando De la Rosa Ricciardi, MD

  • Medical Physician Assistant
  • San Sebastian, PR
  • NPI 1649155227
  NPD (past)
• Nelson David Valentin, MD

  • General Practice Physician
  • Coamo, PR
  • NPI 1326653148
  NPD (past)
• Cesar I Vargas Quinones, MD

  • General Practice Physician
  • San Sebastian, PR
  • NPI 1073599809
  NPD (past)

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1659785673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810817",
            "telephone_number": "787-410-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DOCTOR BASORA",
            "address_2": "HOSPITAL PEREA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMG SURGICAL SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-410-0159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PR",
            "license": "17272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milagros L Jimenez Vega, BA
• Juan Carlos Jimenez-Cruz Sr., M.D., F.A.C.O.G.
• Kristel L Jimenez-Santiago, PSY.D.
• Gemarilys Jimenez
• Jacqueline Jimenez, M.S
• JMMR Enterprise Inc (Leguisamo Pharmacy & More)
• Marla Esther Jordan, MD
• Jorge L Bonilla MD PSC (Jorge L Bonilla Mendez)
• Jorge L Colon (Super Farmacia Familiar)
• Jose a. Cancio MD, C.S.P.

• Exclusive Provider Organization in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Exclusive Provider Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.