| Jlm Medical Services Llc | |
|
100 Ave Luis Munoz Marin Caguas PR 00725-6184 | |
| (787) 653-6060 | |
| Not Available |
| Full Name | Jlm Medical Services Llc |
|---|---|
| Speciality | General Practice |
| Location | 100 Ave Luis Munoz Marin, Caguas, Puerto Rico |
| Authorized Official Name and Position | Jonathan Lopez Medina (PRESIDENT) |
| Authorized Official Contact | 7876470369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jlm Medical Services Llc Urb Cautiva 12 Calle Almacigos Caguas PR 00727 Ph: () - | Jlm Medical Services Llc 100 Ave Luis Munoz Marin Caguas PR 00725-6184 Ph: (787) 653-6060 |
| NPI Number | 1003697590 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/10/2023 |
| Medicare PECOS PAC ID | 1052768397 |
|---|---|
| Medicare Enrollment ID | O20231108002756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003697590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jonathan Lopez Medina |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790303121 PECOS PAC ID: 8224452354 Enrollment ID: I20200818000094 |
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