Provider Demographics
NPI:1518223171
Name:JPM MEDICAL SERVICES,P.S.C
Entity Type:Organization
Organization Name:JPM MEDICAL SERVICES,P.S.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:I
Authorized Official - Last Name:PELET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-751-0887
Mailing Address - Street 1:PMB 213
Mailing Address - Street 2:1359 LUIS VIGOREAUX AVE.
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2718
Mailing Address - Country:US
Mailing Address - Phone:787-751-0887
Mailing Address - Fax:
Practice Address - Street 1:TORRE MEDICA DE AUXILIO MUTUO
Practice Address - Street 2:AV PONCE DE LEON #735 OF 708
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-2700
Practice Address - Country:US
Practice Address - Phone:787-751-0887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11123208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1801980966Medicare UPIN