Organization
JMG SURGICAL SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER MARQUEZ M.D. (PRESIDENT)
(787) 410-0159
Entity
Organization
Contact information
Practice address
15 DOCTOR BASORA, HOSPITAL PEREA, MAYAGUEZ, PR 00680
(787) 834-0101
Mailing address
PO BOX 817, MAYAGUEZ, PR 00681-0817
(787) 410-0159
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
17272
PR
Other
Enumeration date
06/18/2014
Last updated
07/16/2014
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