Provider Demographics
NPI:1487229563
Name:JDM MEDICAL SOLUTION INC
Entity type:Organization
Organization Name:JDM MEDICAL SOLUTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:JAZMIN
Authorized Official - Middle Name:I
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:I
Authorized Official - Credentials:MICROBIOLOGY
Authorized Official - Phone:787-943-0325
Mailing Address - Street 1:425 CARR 693 STE 1
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4817
Mailing Address - Country:US
Mailing Address - Phone:787-221-2751
Mailing Address - Fax:
Practice Address - Street 1:425 CARR 693 STE 1
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-4817
Practice Address - Country:US
Practice Address - Phone:787-221-2751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JDM MEDICAL SOLUTION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-21
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies