Provider Demographics
NPI:1134470404
Name:JP INTERNAL & CARDIOVASCULAR MEDICINE PSC
Entity Type:Organization
Organization Name:JP INTERNAL & CARDIOVASCULAR MEDICINE PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSUE
Authorized Official - Middle Name:
Authorized Official - Last Name:PABON LANDRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-763-9813
Mailing Address - Street 1:PO BOX 192382
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-2382
Mailing Address - Country:US
Mailing Address - Phone:787-763-9813
Mailing Address - Fax:787-763-9820
Practice Address - Street 1:735 AVE PONCE DE LEON
Practice Address - Street 2:SUITE 415 TORRE DE AUXILIO MUTUO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5022
Practice Address - Country:US
Practice Address - Phone:787-763-9813
Practice Address - Fax:787-763-9820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8158207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty