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NPI Code Detail

MEDICARE: JMG MD LLC

MEDICARE: JMG MD LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1164256293
Entity Type Code : Organization
Provider Name (Legal Business Name) : JMG MD LLC
Provider Business Mailing Address
First Line : 672 CAMINO DE LAS LAVANDAS
Second Line :
City : DORADO
State : PR
Zip : 00646-6167
Country : US
Telephone Number : 787-234-0509
Fax Number :
Provider Business Practice Location Address
First Line : 672 CAMINO DE LAS LAVANDAS
Second Line :
City : DORADO
State : PR
Zip : 00646-6167
Country : US
Telephone Number : 787-234-0509
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOSEPH MENDEZ GOMEZ II
Credential : MD
Telephone Number : 787-234-0509
Provider Enumeration Date : 08/30/2024
Last Update Date : 08/30/2024

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Directions to “JMG MD LLC ” Practice Location

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