Provider Demographics
NPI:1144698440
Name:JMO MEDICAL SERVICES
Entity type:Organization
Organization Name:JMO MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORTEGA VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-607-7169
Mailing Address - Street 1:PO BOX 143045
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-3045
Mailing Address - Country:US
Mailing Address - Phone:787-878-5746
Mailing Address - Fax:787-878-5746
Practice Address - Street 1:EDIFICIO ARECIBO MEDICAL PLAZA
Practice Address - Street 2:SUITE 202
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-607-7169
Practice Address - Fax:787-607-7169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0027693Medicare PIN
E43310Medicare UPIN