Healthcare Provider Details
I. General information
NPI: 1053269548
Provider Name (Legal Business Name): FJF MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
349 AVE DONA FELISA RINCON DE GAUTIER SUITE 213-214
SAN JUAN PR
00926-6673
US
IV. Provider business mailing address
653 CALLE UNION APT 3 COND. LOS FELICES
SAN JUAN PR
00907-3468
US
V. Phone/Fax
- Phone: 787-689-1166
- Fax:
- Phone: 787-689-1166
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FRANCISCO
JOSE
FELICIANO
Title or Position: OWNER
Credential: MD
Phone: 787-689-1166