Provider Demographics
NPI:1902534928
Name:JCG MEDICAL EMERGENCY SERVICES PSC
Entity Type:Organization
Organization Name:JCG MEDICAL EMERGENCY SERVICES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON GRAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-528-3329
Mailing Address - Street 1:3205 AVENIDA ISLA VERDE
Mailing Address - Street 2:CONDOMINIO THE GALAXY 1606
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979
Mailing Address - Country:US
Mailing Address - Phone:787-528-3329
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL DR RAMON RUIZ ARNAU
Practice Address - Street 2:AVE LAUREL SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00958
Practice Address - Country:US
Practice Address - Phone:787-787-5151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty