Organization Active NPI

JS Medical Services LLC

  • Health Service Clinic/Center
  • Humacao, PR
National Provider Identifier
1659940401
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
JS MEDICAL SERVICES LLC
Practice address
100 Ave Font Martelo W
Humacao, PR 00791-3923
Phone
(787) 483-7153
NPI assigned
Jun 24, 2021
Organization subpart
Yes
Parent organization
JS MEDICAL SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Dr. Jose Sanchez Lopez, MDNPI 1740446145
Title
Presidente
Phone
(787) 483-7153

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

100 Ave Font Martelo W
Humacao, PR 00791-3923

Mailing address

PO Box 10258
Humacao, PR 00792-1258
Phone (787) 483-7150

Other practice location 1

Calle Rifkhol Num 4B
Patillas, PR 00723
Phone (787) 691-2432

Other identifiers 1

IdentifierTypeStateIssuer
012345OtherPR012345

Other names 1

  • JS MEDICAL SERVICES LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211117003195 PR Part B Supplier - Clinic/Group Practice 6507255247 Receives reassigned benefits from 1 practitioner
Practice locations: Humacao, PR; Fajardo, PR

National Provider Directory

National Provider Directory
Part of
JS Medical Services LLC

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1659940401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10258",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007921258",
            "telephone_number": "787-483-7150",
            "fax_number": "787-483-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE FONT MARTELO W",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913923",
            "telephone_number": "787-483-7153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CALLE RIFKHOL NUM 4B",
            "address_purpose": "LOCATION",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "00723",
            "country_code": "US",
            "telephone_number": "787-691-2432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JS MEDICAL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JS MEDICAL SERVICES LLC",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-07-21",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ LOPEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-483-7153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "012345",
            "identifier": "012345",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JS MEDICAL SERVICES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "JS MEDICAL SERVICES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.