Organization Active NPI

Osvaldo Jimenez,M.D.,PSC.

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1053430868
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6072 Issued in PR
Legal business name
OSVALDO JIMENEZ,M.D.,PSC.
Practice address
150 Calle de Diego
Suite 501
San Juan, PR 00925-3406
Phone
(787) 724-0550
Fax
(787) 724-0561
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Osvaldo Jimenez, MD
Title
President
Phone
(787) 724-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 6072 PR Primary

Addresses

Primary practice location

150 Calle de Diego
Suite 501
San Juan, PR 00925-3406

Mailing address

PO Box 364807
San Juan, PR 00936-4807
Phone (787) 724-0550

National Provider Directory

National Provider Directory

Locations

150 Calle de Diego
Ste 501
San Juan, PR 00925
Phone (787) 724-0550

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1053430868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364807",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364807",
            "telephone_number": "787-724-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CALLE DE DIEGO",
            "address_2": "SUITE 501",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009253406",
            "telephone_number": "787-724-0550",
            "fax_number": "787-724-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSVALDO JIMENEZ,M.D.,PSC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-724-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "6072",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.