# JS SPORT MEDICINE, PSC

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

## Provider details

- **NPI number:** 1932588464
- **Authorized official:** DR. JUAN LUIS JIRAU ADAMES MD, DABPMR (PRESIDENT/OWNER)
- **Authorized official phone:** (787) 949-2933

## Contact information

- **Practice address:** 576 CALLE CESAR GONZALEZ STE 502, SAN JUAN, PR 00918-3758
- **Practice address phone:** (787) 705-1662
- **Practice address fax:** (787) 425-0032
- **Mailing address:** 1353 AVE LUIS VIGOREAUX, PMB 345, GUAYNABO, PR 00966-2715
- **Mailing address phone:** (787) 705-1662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 16739 | PR | Yes |

## Other

- **Enumeration date:** 05/29/2015
- **Last updated:** 06/25/2020