Ruth Mareva Fred Jimenez, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

18508 Issued in PR

Practice address

15 Calle Pimentel
Rio Grande, PR 00745-3063

Phone

(787) 754-2525

NPI assigned

Sep 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

RheumatologyAlso: Internal Medicine

Education

Ponce School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Recinto de Ciencias Medicas

  • Rheumatology Physician
  • Rio Piedras, PR
  • NPI 1255419859
  Medicare reassignment
• Super Farmacia Santa Teresa, Inc

  • Community/Retail Pharmacy
  • Rio Grande, PR
  • NPI 1629107677
  NPD (past)

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1073746392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 756",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007450756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CALLE PIMENTEL",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007453063",
            "telephone_number": "787-754-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRED JIMENEZ",
        "first_name": "RUTH",
        "middle_name": "MAREVA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "18508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivelisse Fontanez, MSN
• Xionell Forty Galvez
• Yashira B Forty Rodriguez, MSW
• Brendy I Franco, MSW
• Lilliana Franco, RN
• Roberto R Fred Santana, MD FACC
• Ruth Daliana Fred, PHARM D
• Abner Joel Garcia Perez, PHARMD
• Mariela Garcia
• Nicole Sharim Garcia

• Rheumatology Physician in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Rheumatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.

Verify at the official NPI Registry.