# JENSS PSC

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

## Provider details

- **NPI number:** 1083119846
- **Authorized official:** DR. JOEL EFRAIN NIEVES SCHARON MD (PRESIDENT)
- **Authorized official phone:** (787) 342-2584

## Contact information

- **Practice address:** 400 FD ROOSEVELT AVENUE, OFFICE 305, SAN JUAN, PR 00918
- **Practice address phone:** (787) 342-2584
- **Mailing address:** COND DORAL PLAZA, CALLE LUIS VIGOREAUX APART 10L, GUAYNABO, PR 00966
- **Mailing address phone:** (787) 342-2484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 19927 | PR | Yes |

## Other

- **Enumeration date:** 03/26/2018
- **Last updated:** 03/26/2018