Organization Active NPI

Jaa Medical Services CSP

  • Specialist
  • Ponce, PR
National Provider Identifier
1932309143
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Feb 8, 2012

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20031112000164 PR Part B Supplier - Clinic/Group Practice 3678486958 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.