Healthcare Provider Details

I. General information

NPI: 1326045337
Provider Name (Legal Business Name): JF MEDICAL SUPPORT CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CALLE RUIZ BELVIS
MARICAO PR
00606-1245
US

IV. Provider business mailing address

1 CALLE RUIZ BELVIS
MARICAO PR
00606-1245
US

V. Phone/Fax

Practice location:
  • Phone: 787-838-2341
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: JOSE A FLORES
Title or Position: PRESIDENTE
Credential:
Phone: 787-838-2341