Organization
JA MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIMAR MARTINEZ ORTIZ MD (PRESIDENT)
(787) 987-8031
Entity
Organization
Contact information
Practice address
2-18 CALLE MARIO BRASCHI, JUANA DIAZ, PR 00795
(787) 987-8031
(787) 987-8032
Mailing address
61 CALLE REY FERNANDO, JUANA DIAZ, PR 00795-4006
(787) 987-8031
(787) 987-8032
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17075
MEDICAL LICENSE
PR
Enumeration date
12/02/2022
Last updated
12/06/2022
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