Active NPI
JRV Med Group LLC
- General Practice Physician
- Sabana Grande, PR
National Provider Identifier
1821591280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- JRV MED GROUP LLC
- Practice address
- 62 Calle 25 de Julio
Sabana Grande, PR 00637-1704 - Phone
- (787) 506-0994
- NPI assigned
- Mar 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerimer J Rodriguez, MD
- Title
- President
- Phone
- (787) 506-0994
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
62 Calle 25 de Julio
Sabana Grande, PR 00637-1704
Mailing address
62 Calle 25 de Julio
Sabana Grande, PR 00637-1704
Phone (787) 506-0994
Other practice location 1
47 Calle 4
Bo Belgica
Guanica, PR 00653
Phone (787) 821-7500
Other practice location 2
74 Calle Comercio
Yauco, PR 00698-3542
Phone (787) 267-3056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
62 Calle 25 de Julio
Sabana Grande, PR 00637
Phone (787) 506-0994
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Yauco, PR
- NPI 1710118815
-
- General Practice Physician
- Yauco, PR
- NPI 1801066865
-
- General Practice Physician
- Lakeland, FL
- NPI 1164539870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1821591280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 CALLE 25 DE JULIO",
"city": "SABANA GRANDE",
"state": "PR",
"postal_code": "006371704",
"telephone_number": "787-506-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 CALLE 25 DE JULIO",
"city": "SABANA GRANDE",
"state": "PR",
"postal_code": "006371704",
"telephone_number": "787-506-0994"
}
],
"practiceLocations": [
{
"address_1": "47 CALLE 4",
"address_2": "BO BELGICA",
"address_purpose": "LOCATION",
"city": "GUANICA",
"state": "PR",
"postal_code": "00653",
"country_code": "US",
"telephone_number": "787-821-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "74 Calle Comercio",
"address_purpose": "LOCATION",
"city": "Yauco",
"state": "PR",
"postal_code": "006983542",
"country_code": "US",
"telephone_number": "787-267-3056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JRV MED GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-13",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "JERIMER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-506-0994",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sabana Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.