Djrj3 Medical Services Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD2013-0395 Issued in NM

Legal business name

DJRJ3 MEDICAL SERVICES INC

Practice address

840 Lobo Canyon Rd
Grants, NM 87020-2172

Phone

(505) 404-9132

Fax

(505) 393-1076

NPI assigned

Jun 2, 2006

Last updated

Apr 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph M Charles Jr., MD

Title

Owner

Phone

(505) 404-9132

Specialties & licenses 1

Addresses

Other names 1

• DJRJ2 Former legal business name

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1922045319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7191",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870207191",
            "telephone_number": "505-404-9132",
            "fax_number": "505-393-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 LOBO CANYON RD",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202172",
            "telephone_number": "505-404-9132",
            "fax_number": "505-393-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJRJ3 MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-404-9132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2013-0395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DJRJ2",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Grants, NM
• Providers in Grants, NM by specialty
• Obstetrics & Gynecology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.