| Jvt Medical Center Llc | |
|
864 Ave San Patricio Las Lomas San Juan PR 00921-1308 | |
| (787) 792-3203 | |
| (787) 273-6970 |
| Full Name | Jvt Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 864 Ave San Patricio, San Juan, Puerto Rico |
| Authorized Official Name and Position | Maricarmen Quinones (PRESIDENT/PRIMARY PHYSICIAN) |
| Authorized Official Contact | 7877923203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jvt Medical Center Llc 96 Valle Escondido San Juan PR 00971 Ph: (787) 792-3203 | Jvt Medical Center Llc 864 Ave San Patricio Las Lomas San Juan PR 00921-1308 Ph: (787) 792-3203 |
| NPI Number | 1639420771 |
|---|---|
| Provider Enumeration Date | 09/28/2012 |
| Last Update Date | 02/28/2024 |
| Medicare PECOS PAC ID | 8921231697 |
|---|---|
| Medicare Enrollment ID | O20140502001504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639420771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 5441 (Puerto Rico) | Primary |
| Provider Name | Maricarmen Quinones |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164606141 PECOS PAC ID: 3577695220 Enrollment ID: I20100716000179 |
| Provider Name | Jose A Tavarez Valle |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1326058496 PECOS PAC ID: 9931368305 Enrollment ID: I20120306000102 |
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