Active NPI
Ja Medical Center, Inc
- General Practice Physician
- Juana Diaz, PR
National Provider Identifier
1831809649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- JA MEDICAL CENTER, INC
- Practice address
- 2-18 Calle Mario Braschi
Juana Diaz, PR 00795 - Phone
- (787) 987-8031
- Fax
- (787) 987-8032
- NPI assigned
- Dec 2, 2022
- 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
- Glorimar Martinez Ortiz, MD
- Title
- President
- Phone
- (787) 987-8031
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2-18 Calle Mario Braschi
Juana Diaz, PR 00795
Mailing address
61 Calle Rey Fernando
Juana Diaz, PR 00795-4006
Phone (787) 987-8031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17075 | Other | PR | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Jayuya, PR
- NPI 1396917555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670284800000",
"number": "1831809649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 CALLE REY FERNANDO",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "007954006",
"telephone_number": "787-987-8031",
"fax_number": "787-987-8032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2-18 CALLE MARIO BRASCHI",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "00795",
"telephone_number": "787-987-8031",
"fax_number": "787-987-8032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JA MEDICAL CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-02",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A",
"authorized_official_last_name": "MARTINEZ ORTIZ",
"authorized_official_first_name": "GLORIMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-987-8031",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "17075",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Juana Diaz, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.