Healthcare Provider Details

I. General information

NPI: 1265034102
Provider Name (Legal Business Name): CJRP MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2020
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CARR 140 # KM63.4
BARCELONETA PR
00617-2756
US

IV. Provider business mailing address

B5 TABONUCO ST SUITE 216 PMB 133
GUAYNABO PR
00968
US

V. Phone/Fax

Practice location:
  • Phone: 787-450-7094
  • Fax:
Mailing address:
  • Phone: 787-450-7094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. CINDY J. RAMIREZ-PAGAN
Title or Position: MANAGER
Credential: MD
Phone: 787-450-7094