MEDICARE: JCL MEDICAL SERVICES, 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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1275332942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JCL MEDICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	26 CALLE FLAMBOYAN APT 9
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00966-2145
Country	:	US
Telephone Number	:	787-517-3353
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 AVE ESMERALDA
Second Line	:	EDIFICIO GUAYNABO MEMORIAL
City	:	GUAYNABO
State	:	PR
Zip	:	00969-3457
Country	:	US
Telephone Number	:	787-517-3353
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JUAN C LEBRON-MIRO
Credential	:	MD
Telephone Number	:	787-923-0591

Provider Enumeration Date	:	03/13/2025
Last Update Date	:	02/25/2026

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