Provider Demographics
NPI:1992512735
Name:JM HEALTH CLINIC
Entity type:Organization
Organization Name:JM HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:MATOS CONCEPCION
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-828-6420
Mailing Address - Street 1:HC 7 BOX 25881
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00731-9670
Mailing Address - Country:US
Mailing Address - Phone:787-240-6479
Mailing Address - Fax:
Practice Address - Street 1:28 CALLE LIBERTAD
Practice Address - Street 2:
Practice Address - City:JAYUYA
Practice Address - State:PR
Practice Address - Zip Code:00664-1430
Practice Address - Country:US
Practice Address - Phone:787-828-6420
Practice Address - Fax:787-419-0241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty