| Jmg Md Llc | |
|
672 Camino De Las Lavandas Dorado PR 00646-6167 | |
| (787) 234-0509 | |
| Not Available |
| Full Name | Jmg Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 672 Camino De Las Lavandas, Dorado, Puerto Rico |
| Authorized Official Name and Position | Joseph Mendez Gomez (PRESIDENT) |
| Authorized Official Contact | 7872340509 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jmg Md Llc 672 Camino De Las Lavandas Dorado PR 00646-6167 Ph: (787) 234-0509 | Jmg Md Llc 672 Camino De Las Lavandas Dorado PR 00646-6167 Ph: (787) 234-0509 |
| NPI Number | 1164256293 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 08/30/2024 |
| Medicare PECOS PAC ID | 7315474384 |
|---|---|
| Medicare Enrollment ID | O20250102003323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164256293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph Anthony Mendez Gomez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1316591548 PECOS PAC ID: 8820418981 Enrollment ID: I20201012002527 |
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