OrganizationJc Professional Medical Services, PscGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressCarr. 931 Km 5.4, Bo.Navarro, Gurabo, PR 00778(787) 743-1985PECOS EnrollmentBased on the most recent information from CMS, provider Jc Professional Medical Services, Psc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1144485632Provider TypeOrganizationFull NameJc Professional Medical Services, PscSubpartNoEnumeration Date7/23/2008Last Updated1/27/2010Contact InformationPractice LocationPractice AddressCarr. 931 Km 5.4, Bo.Navarro, Gurabo, PR 00778Phone(787) 743-1985Fax(787) 744-6276Mailing LocationMailing Address698 Veredas De Los Cedros, Veredas, Gurabo, PR 00778Phone(787) 743-1985Fax(787) 744-6276Authorized OfficialNameCordero Sepulveda, Julio Domingo (General Physician)Phone(787) 743-1985Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense16022Puerto RicoProvider IdentifiersIDDescriptionIssuerID16022DescriptionOtherIssuerLISCENCEPuerto Rico