Jerrdam Medical, Csp
NPI 1043381080ActiveOrganization· Specialist· Rio Piedras, PR
Specialist in Rio Piedras, Puerto Rico, registered in NPPES in November 2006. The authorized official on file is Jorge A. Ruiz Roman, Presidente. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043381080 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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