Active NPI
Elena Maria Jimenez, MD
- Ophthalmology Physician
- San Juan, PR
National Provider Identifier
1003981804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 13621
- Practice address
- 735 Ave Ponce de Leon Ste 503
San Juan, PR 00917-5026 - Phone
- (787) 510-7880
- Fax
- (787) 925-1200
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 13621 | PR | Primary |
Addresses
Primary practice location
735 Ave Ponce de Leon Ste 503
San Juan, PR 00917-5026
Mailing address
735 Ave Ponce de Leon Ste 503
San Juan, PR 00917-5026
Phone (787) 510-7880
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62095 | Other | BLUE CROSS | |
| 9260093 | Other | HUMANA | |
| 23074 | Other | PREFERRED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Puerto Rico School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
735 Ave Ponce de Leon
San Juan, PR 00917-5022
Phone (787) 510-7880
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.6 of 100
- Quality
- 81.78
- Improvement activities
- 40
- Cost
- 89.64
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 300 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialized Eye Care, C.S.P. | Current | Accepting new patients |
Locations
735 Ave Ponce de Leon
Ste 503
San Juan, PR 00917
Phone (787) 510-7880
Interoperability endpoints
- draj@specializedeyecare.direct.eyemdemr.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Exclusive Provider Organization
- San Juan, PR
- NPI 1063839967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1003981804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 AVE PONCE DE LEON STE 503",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009175026",
"telephone_number": "787-510-7880",
"fax_number": "787-925-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 AVE PONCE DE LEON STE 503",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009175026",
"telephone_number": "787-510-7880",
"fax_number": "787-925-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "ELENA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PR",
"license": "13621",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "62095",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "9260093",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED",
"identifier": "23074",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.