Jmsp Llc | |
Hima Plaza I, Ave Luis Munoz Marin Esq Ave Degetau #100 Suite 513 Caguas PR 00725 | |
(787) 961-0753 | |
Not Available |
Full Name | Jmsp Llc |
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Speciality | Clinic/Center |
Location | Hima Plaza I, Ave Luis Munoz Marin Esq Ave Degetau #100, Caguas, Puerto Rico |
Authorized Official Name and Position | John Mario Sanchez Pares (OWNER) |
Authorized Official Contact | 7876444877 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jmsp Llc Po Box 257 Morovis PR 00687-0257 Ph: () - | Jmsp Llc Hima Plaza I, Ave Luis Munoz Marin Esq Ave Degetau #100 Suite 513 Caguas PR 00725 Ph: (787) 961-0753 |
NPI Number | 1023897535 |
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Provider Enumeration Date | 09/25/2023 |
Last Update Date | 09/25/2023 |
Certification Date | 09/25/2023 |
Medicare PECOS PAC ID | 2668821513 |
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Medicare Enrollment ID | O20231218001675 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023897535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | John Sanchez Pares |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1245787837 PECOS PAC ID: 1355790205 Enrollment ID: I20231218002012 |
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