Active NPI
Jaa Medical Services CSP
- Specialist
- Ponce, PR
National Provider Identifier
1932309143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- JAA MEDICAL SERVICES CSP
- Practice address
- 1243 Ave Munoz Rivera
Villa Grillasca
Ponce, PR 00717-0634 - Phone
- (787) 848-7604
- Fax
- (787) 848-7604
- NPI assigned
- Jul 25, 2007
- 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
- Dr. Jorge G. Anglero, MD
- Title
- President
- Phone
- (787) 848-7604
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1243 Ave Munoz Rivera
Villa Grillasca
Ponce, PR 00717-0634
Mailing address
Reparto Anaida 4-C20
Ponce, PR 00716-2534
Phone (787) 848-7604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
609 Ave Tito Castro
#102
Ponce, PR 00716
1243 Ave Munoz Rivera
Ponce, PR 00717
Phone (787) 284-3616
609 Ave Tito Castro
Ste 102
Ponce, PR 00716
Phone (787) 259-3316
2746 Blvd Luis a Ferre
Ponce, PR 00717
Phone (787) 848-7604
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Ponce, PR
- NPI 1285694505
-
- Clinical Psychologist
- Ponce, PR
- NPI 1629373378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328659200000",
"number": "1932309143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "REPARTO ANAIDA 4-C20",
"city": "PONCE",
"state": "PR",
"postal_code": "007162534",
"telephone_number": "787-848-7604",
"fax_number": "787-848-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 AVE MUNOZ RIVERA",
"address_2": "VILLA GRILLASCA",
"city": "PONCE",
"state": "PR",
"postal_code": "007170634",
"telephone_number": "787-848-7604",
"fax_number": "787-848-7604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAA MEDICAL SERVICES CSP",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-25",
"last_updated": "2012-02-08",
"status": "A",
"authorized_official_last_name": "ANGLERO",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-848-7604",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.