Provider Demographics
NPI:1952499535
Name:JS HOME MEDICAL SERVICES
Entity Type:Organization
Organization Name:JS HOME MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-260-6205
Mailing Address - Street 1:47 VILLAS DE LA ESPERANZA
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-9629
Mailing Address - Country:US
Mailing Address - Phone:939-630-0444
Mailing Address - Fax:787-260-6205
Practice Address - Street 1:47 VILLAS DE LA ESPERANZA
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-9629
Practice Address - Country:US
Practice Address - Phone:939-630-0444
Practice Address - Fax:787-260-6205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR132699Medicare UPIN
PR23208Medicare ID - Type Unspecified
PR132365Medicare UPIN
PR23206Medicare ID - Type Unspecified