Provider Demographics
NPI:1205533593
Name:JM INFINITEVISION
Entity type:Organization
Organization Name:JM INFINITEVISION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOSELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORELL PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-222-6823
Mailing Address - Street 1:URB PUNTO ORO CALLE EL ANAEZ 4017
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728
Mailing Address - Country:US
Mailing Address - Phone:939-222-6823
Mailing Address - Fax:787-201-8331
Practice Address - Street 1:URB SANTA MARIA CALLE FERROCARRIL 466 A
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:939-201-8280
Practice Address - Fax:939-201-8331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty