Provider Demographics
NPI:1932101359
Name:JORCYN MEDICAL SERVICES,INC.
Entity Type:Organization
Organization Name:JORCYN MEDICAL SERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:CALERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-876-9479
Mailing Address - Street 1:6555 NW 36TH ST
Mailing Address - Street 2:STE 201-B
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6978
Mailing Address - Country:US
Mailing Address - Phone:305-876-9479
Mailing Address - Fax:305-874-3873
Practice Address - Street 1:6555 NW 36TH ST
Practice Address - Street 2:STE 201-B
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-6978
Practice Address - Country:US
Practice Address - Phone:305-876-9479
Practice Address - Fax:305-874-3873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1435332B00000X, 332BP3500X
FL32:01697332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1047720001Medicare NSC