Healthcare Provider Details

I. General information

NPI: 1932101359
Provider Name (Legal Business Name): JORCYN MEDICAL SERVICES,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6555 NW 36TH ST STE 201-B
VIRGINIA GARDENS FL
33166-6978
US

IV. Provider business mailing address

6555 NW 36TH ST STE 201-B
VIRGINIA GARDENS FL
33166-6978
US

V. Phone/Fax

Practice location:
  • Phone: 305-876-9479
  • Fax: 305-874-3873
Mailing address:
  • Phone: 305-876-9479
  • Fax: 305-874-3873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number32:01697
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1435
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number1435
License Number StateFL

VIII. Authorized Official

Name: MR. JORGE LUIS CALERA
Title or Position: PRESIDENT
Credential:
Phone: 305-876-9479