Healthcare Provider Details

I. General information

NPI: 1174448385
Provider Name (Legal Business Name): JCN MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

B13 CALLE POPPY
SAN JUAN PR
00926-6560
US

IV. Provider business mailing address

B13 CALLE POPPY
SAN JUAN PR
00926-6560
US

V. Phone/Fax

Practice location:
  • Phone: 787-459-1513
  • Fax:
Mailing address:
  • Phone: 787-459-1513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JORANNIE CRUZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-459-1513