Provider Demographics
NPI:1477791861
Name:MEDICAL EMERGENCY GROUP JRJ, C.S.P.
Entity Type:Organization
Organization Name:MEDICAL EMERGENCY GROUP JRJ, C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-746-5790
Mailing Address - Street 1:PO BOX 1388
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-1388
Mailing Address - Country:US
Mailing Address - Phone:787-746-5790
Mailing Address - Fax:787-744-8065
Practice Address - Street 1:CARRETERA 861KM 6 H 1
Practice Address - Street 2:BO PINAS
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-0000
Practice Address - Country:US
Practice Address - Phone:787-746-5790
Practice Address - Fax:787-745-0708
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAB CDT TOA ALTA BO PINA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care