# JFK ORTHO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063723237
- **Authorized official:** JAIME F FUMERO MD (PRESIDENTE)
- **Authorized official phone:** (787) 854-4040

## Contact information

- **Practice address:** PLAZA PUERTA DEL SOL, NUM 54 LOCAL 14, MANATI, PR 00674-0000
- **Practice address phone:** (787) 854-4040
- **Practice address fax:** (787) 854-4770
- **Mailing address:** PO BOX 787, MANATI, PR 00674-0787
- **Mailing address phone:** (787) 854-4040
- **Mailing address fax:** (787) 854-4770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2010
- **Last updated:** 06/23/2010