Provider Demographics
NPI:1972802288
Name:RJ MED CARE,INC.
Entity type:Organization
Organization Name:RJ MED CARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-948-8539
Mailing Address - Street 1:67 CALLE 65 INFANTERIA
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-2921
Mailing Address - Country:US
Mailing Address - Phone:787-948-8539
Mailing Address - Fax:787-826-3934
Practice Address - Street 1:67 CALLE 65 INFANTERIA
Practice Address - Street 2:SUITE 5
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610-2921
Practice Address - Country:US
Practice Address - Phone:787-948-8539
Practice Address - Fax:787-826-3934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2549754343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)