JMMR Enterprise Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

19-F-3095 Issued in PR

Legal business name

JMMR ENTERPRISE INC

Practice address

Carr 352 KM 4.6 Barrio Leguisamo
Mayaguez, PR 00681

Phone

(787) 652-4595

Fax

(787) 652-4593

NPI assigned

Jan 24, 2013

Organization subpart

No

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

Authorized official

Name

Melissa Rivera

Title

President JMMR Enterprise Inc

Phone

(787) 612-2865

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Leguisamo Pharmacy & More Doing business as

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1851639967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "006700411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 352 KM 4.6 BARRIO LEGUISAMO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00681",
            "telephone_number": "787-652-4595",
            "fax_number": "787-652-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMMR ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT JMMR ENTERPRISE INC",
        "authorized_official_telephone_number": "787-612-2865"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "PR",
            "license": "19-F-3095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138749",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leguisamo Pharmacy & More",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juan Carlos Jimenez-Cruz Sr., M.D., F.A.C.O.G.
• Kristel L Jimenez-Santiago, PSY.D.
• Gemarilys Jimenez
• Jacqueline Jimenez, M.S
• JMG Surgical Services PSC
• Marla Esther Jordan, MD
• Jorge L Bonilla MD PSC
• Jorge L Colon
• Jose a. Cancio MD, C.S.P.
• Jose E Montalvo

• Compounding Pharmacy in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Compounding Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.