Basic Information
| Provider Information | |||||||||
| NPI: | 1942601893 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JMF MEDICINA INTERNA, PSC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 4956 | ||||||||
| Address2: | PMB BOX 2175 | ||||||||
| City: | CAGUAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00726 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872208238 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 AVE FERNANDO | ||||||||
| Address2: | BQ 17 RES BAIROA BASE 4 | ||||||||
| City: | CAGUAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00726 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872208238 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/10/2014 | ||||||||
| LastUpdateDate: | 09/10/2014 | ||||||||
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| AuthorizedOfficialLastName: | FIGUEROA | ||||||||
| AuthorizedOfficialFirstName: | JANNETTE | ||||||||
| AuthorizedOfficialMiddleName: | MARIE | ||||||||
| AuthorizedOfficialTitleorPosition: | INTERNAL MEDICINE PHYSICIAN/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7872208238 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2300X | 16951 | PR | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.