Provider Demographics
NPI:1689483786
Name:JYJ MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:JYJ MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YANEISY
Authorized Official - Middle Name:
Authorized Official - Last Name:CORREA VENTO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-223-9751
Mailing Address - Street 1:8770 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3201
Mailing Address - Country:US
Mailing Address - Phone:786-223-9751
Mailing Address - Fax:305-402-0941
Practice Address - Street 1:8770 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-3201
Practice Address - Country:US
Practice Address - Phone:786-223-9751
Practice Address - Fax:305-402-0941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty