Active NPI
JSM LLC
- Obstetrics & Gynecology Physician
- Bayamon, PR
National Provider Identifier
1831836063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- JSM LLC
- Practice address
- Urb. Ciudad Jardin III
74 Calle Sauco
Bayamon, PR 00956 - Phone
- (787) 566-7869
- NPI assigned
- May 18, 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
- Janice Soto Morales, MD
- Title
- Ceo
- Phone
- (787) 566-7869
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
Urb. Ciudad Jardin III
74 Calle Sauco
Bayamon, PR 00956
Mailing address
HC 67 Box 13198
Bayamon, PR 00956-9502
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.PracticeFusion.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230703002832 | PR | Part B Supplier - Clinic/Group Practice | 0547629974 |
Receives reassigned benefits from 1 practitioner Practice locations: Carolina, PR |
National Provider Directory
National Provider DirectoryLocations
PQ26 Ave El Comandante
Ste 101
Carolina, PR 00982
Phone (787) 769-6548
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- San Juan, PR
- NPI 1962852855
Obstetrics & Gynecology, PR
-
- Obstetrics & Gynecology Physician
- Carolina, PR
- NPI 1679540462
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- San Juan, PR
- NPI 1295219483
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652832000000",
"number": "1831836063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 67 BOX 13198",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009569502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. CIUDAD JARDIN III",
"address_2": "74 CALLE SAUCO",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-566-7869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JSM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-02",
"status": "A",
"authorized_official_last_name": "SOTO MORALES",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "787-566-7869",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.PracticeFusion.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "Urb. Ciudad Jardin III",
"address_2": "74 Calle Sauco",
"city": "Bayamon",
"state": "PR",
"country_code": "US",
"postal_code": "00956",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.