Jcoculoplastics, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

18288 Issued in PR

Legal business name

JCOCULOPLASTICS, LLC

Practice address

572 Calle Cesar Gonzalez
San Juan, PR 00918-3738

Phone

(787) 758-2404

Fax

(787) 764-4227

NPI assigned

Jan 29, 2018

Last updated

Jan 29, 2018By 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. Juan Carlos Jimenez Perez, MDNPI 1114236437

Title

Sole Member

Phone

(787) 758-2404

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan Carlos Jimenez Perez, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • San Juan, PR
  • NPI 1114236437

  Ophthalmology

  NPD Authorized official

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1922506526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 CALLE CESAR GONZALEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 CALLE CESAR GONZALEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183738",
            "telephone_number": "787-758-2404",
            "fax_number": "787-764-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCOCULOPLASTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ PEREZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "787-758-2404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "18288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jbertran MD LLC
• JCN Medical Services LLC
• JCPK Endo LLC
• JD Health Group Inc
• JDDM Inc (New Balance Puerto Rico)
• Jem Care, LLC
• Jenss PSC

• Ophthalmology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.