Individual provider Active NPI

Carmen Johanna Reyes Jimenez

  • Internal Medicine Physician
  • Morovis, PR
National Provider Identifier
1083218259
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
024047 Issued in PR
Practice address
18 Calle Verano
Morovis, PR 00687-3073
Phone
(787) 602-6925
NPI assigned
Nov 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 024047 PR Primary

Addresses

Primary practice location

18 Calle Verano
Morovis, PR 00687-3073

Mailing address

18 Calle Verano
Morovis, PR 00687-3073
Phone (787) 602-6925

Other names 1

  • Carmen Johanna Reyes Jimenez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
024047PRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1083218259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CALLE VERANO",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006873073",
            "telephone_number": "787-602-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CALLE VERANO",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006873073",
            "telephone_number": "787-602-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES JIMENEZ",
        "first_name": "CARMEN",
        "middle_name": "JOHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-28",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "024047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "REYES JIMENEZ",
            "middle_name": "JOHANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morovis, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.