Healthcare Provider Details

I. General information

NPI: 1174607394
Provider Name (Legal Business Name): JAYE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 10/24/2022
Certification Date: 10/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FILIPO DI PLANA STREET #5 MARTINEZ NADAL AVENUE
SAN JUAN PR
00966
US

IV. Provider business mailing address

PMB 347 WINSTON CHURCHILL AVENUE #138
SAN JUAN PR
00926-6013
US

V. Phone/Fax

Practice location:
  • Phone: 787-999-6200
  • Fax:
Mailing address:
  • Phone: 787-999-6200
  • Fax: 787-999-6210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: MR. JOAQUIN FERNANDEZ QUINTERO
Title or Position: PRESIDENT
Credential: MD
Phone: 787-999-6200