Organization Active NPI

Jorge Jimenez Maldonado,CSP

  • Family Medicine Physician
  • Manati, PR
National Provider Identifier
1053444091
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JORGE JIMENEZ MALDONADO,CSP
Practice address
C15 Calle a S
Manati, PR 00674-5412
Phone
(787) 884-6595
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Dr. Jorge D Jimenez, M.D.
Title
Presidente
Phone
(787) 884-6595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

C15 Calle a S
Manati, PR 00674-5412

Mailing address

PO Box 2020
Barceloneta, PR 00617-2020
Phone (787) 383-2802

National Provider Directory

National Provider Directory

Locations

C15 Calle a S
Manati, PR 00674
Phone (787) 884-6595

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1053444091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2020",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172020",
            "telephone_number": "787-383-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C15 CALLE A S",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745412",
            "telephone_number": "787-884-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE JIMENEZ MALDONADO,CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-884-6595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.