Healthcare Provider Details

I. General information

NPI: 1659121960
Provider Name (Legal Business Name): JPM SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A-20 CII PARKSIDE
GUAYNABO PR
00968
US

IV. Provider business mailing address

A20 CII PARKSIDE 2
GUAYNABO PR
00968
US

V. Phone/Fax

Practice location:
  • Phone: 787-201-1444
  • Fax:
Mailing address:
  • Phone: 787-201-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. JEAN PAUL MIRANDA
Title or Position: OWNER
Credential: DMD
Phone: 787-201-1444