Provider Demographics
NPI:1760715692
Name:JB GLOBAL MEDICS INC
Entity Type:Organization
Organization Name:JB GLOBAL MEDICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:F
Authorized Official - Last Name:BASORA ROVIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-529-8125
Mailing Address - Street 1:HC 3 BOX 25708
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-9339
Mailing Address - Country:US
Mailing Address - Phone:787-892-0585
Mailing Address - Fax:787-892-0588
Practice Address - Street 1:CARR. 2 KM 174
Practice Address - Street 2:SAN GERMAN MEDICAL PLAZA SUITE 204
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-529-8125
Practice Address - Fax:787-892-0588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17537207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty