Active NPI
Antonio Jimenez Chinea, MD
- Nephrology Physician
- Guaynabo, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 21122
- Practice address
- C6 Ave Alejandrino
Guaynabo, PR 00969 - Phone
- (787) 200-8643
- NPI assigned
- May 31, 2010
- Last updated
- Nov 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 21122 | PR | Primary |
| Nephrology Physician | 207RN0300X | MD.206323 | LA |
Addresses
Primary practice location
C6 Ave Alejandrino
Guaynabo, PR 00969
Mailing address
Urb Prado Alto
Calle 6 #K34
Guaynabo, PR 00966
Phone (787) 200-8643
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09189769 | Medicaid | MS | |
| 2105213 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
715 Ave Ponce de Leon
San Juan, PR 00917-5032
Phone (787) 758-3320
87 Calle Jose de Diego
Toa Alta, PR 00953-2415
Phone (787) 870-2367
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.206323 | LA | MD | Nephrology Physician |
| 21122 | PR | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jimenez Chinea Renal Care LLC | Nephrology | Current | Accepting new patients |
| Recinto de Ciencias Medicas | Nephrology | Current | Accepting new patients |
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Puerto Rico Vascular Access Center PSC | Nephrology | Current | Accepting new patients |
| Grupo Medico del Toa | Past | Accepting new patients |
Locations
715 Ave Ponce de Leon
#375
San Juan, PR 00917
Phone (787) 504-1100
715 Ave Ponce de Leon
Ste 1
San Juan, PR 00917
Phone 7877582000 ext. 1391
BO Monacillos Centro Medico De
San Juan, PR 00935
Phone 78775825252379
87 Calle Jose de Diego
Toa Alta, PR 00953
Phone (787) 870-2367
Organizations & group practices 5
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.
-
- Nephrology Physician
- Toa Alta, PR
- NPI 1194295337
-
- Nephrology Physician
- San Juan, PR
- NPI 1649659756
-
dba Recinto de Ciencias Medicas (Nefrologia-RCM)
- Nephrology Physician
- San Juan, PR
- NPI 1538241666
-
dba Cirugia Colorrectal RCM
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
-
- Exclusive Provider Organization
- Toa Alta, PR
- NPI 1023393733
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
-
- General Acute Care Hospital
- Guaynabo, PR
- NPI 1922254952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1093034084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB PRADO ALTO",
"address_2": "CALLE 6 #K34",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00966",
"telephone_number": "787-200-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C6 AVE ALEJANDRINO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-200-8643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ CHINEA",
"first_name": "ANTONIO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-31",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PR",
"license": "21122",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "LA",
"license": "MD.206323",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09189769",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2105213",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
- Jellyfish Academy Behavioral Interventions LLC
- Jennifer Castro Chabrier LLC
- Jeries & Company (dental esthetics)
- Jev Professional Healthcare PSC
- Francisco Arnaldo Jimenez Camacho, PHARMD
- Virgilio Jimenez Marte, 0719P
- Andrea M Jimenez Negron, DC
- Yenifer Yesenia Jimenez Ortega, PA
- Luis Jimenez Ortiz, 1320P
- Jose Jimenez Rosado, 0227B
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.