# JMG SURGICAL SERVICES PSC

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

## Provider details

- **NPI number:** 1659785673
- **Authorized official:** DR. JAVIER MARQUEZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 410-0159

## Contact information

- **Practice address:** 15 DOCTOR BASORA, HOSPITAL PEREA, MAYAGUEZ, PR 00680
- **Practice address phone:** (787) 834-0101
- **Mailing address:** PO BOX 817, MAYAGUEZ, PR 00681-0817
- **Mailing address phone:** (787) 410-0159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 17272 | PR | Yes |

## Other

- **Enumeration date:** 06/18/2014
- **Last updated:** 07/16/2014