Individual provider Active NPI

Luis A Jimenez Reyes, MD

  • Clinical Cardiac Electrophysiology Physician
  • Caguas, PR
National Provider Identifier
1053562488
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
17995 Issued in PR
Practice address
100 Ave Luis Munoz Marin Ste 305
Caguas, PR 00725-6184
Phone
(787) 920-4090
NPI assigned
Oct 3, 2008
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 17995 PR Primary

Addresses

Primary practice location

100 Ave Luis Munoz Marin Ste 305
Caguas, PR 00725-6184

Mailing address

PO Box 191855
San Juan, PR 00919-1855
Phone (787) 342-4736

Other identifiers 1

IdentifierTypeStateIssuer
17995OtherPRLICENCIA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161115001847 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 6901185909 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Ave Luis Munoz Marin
Suite 305
Caguas, PR 00725-6184
Phone (787) 920-4090

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc CurrentSince Feb 1, 2017 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Feb 1, 2017 Accepting new patients
Caribbean Heart Institute LLC Clinical Cardiac Electrophysiology CurrentSince Sep 5, 2017 Accepting new patients
Vita Health Clinics CurrentSince Jan 21, 2024 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients

Locations

100 Ave Luis Munoz Marin
#305
Caguas, PR 00725
Phone (787) 920-4090

100 Ave Luis Munoz Marin
Ste 305
Caguas, PR 00725
Phone (787) 342-4736

355 Ave Font Martelo
#856
Humacao, PR 00791
Phone (787) 633-4263

Interoperability endpoints

  • Direct secure messaging: luis.jimenezreyes.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1053562488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191855",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191855",
            "telephone_number": "787-342-4736",
            "fax_number": "877-736-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE LUIS MUNOZ MARIN STE 305",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256184",
            "telephone_number": "787-920-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ REYES",
        "first_name": "LUIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-03",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PR",
            "license": "17995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "17995",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.