Active NPI
Jaimairis Jimenez
- Registered Nurse
- Hatillo, PR
National Provider Identifier
1104541077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 85364
- Practice address
- Bo Carrizales, Calle Luiz Munoz Marin
608
Hatillo, PR 00659 - Phone
- (787) 597-9047
- NPI assigned
- Oct 4, 2022
- Last updated
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 85364 | PR | Primary |
Addresses
Primary practice location
Bo Carrizales, Calle Luiz Munoz Marin
608
Hatillo, PR 00659
Mailing address
PO Box 1145
Hatillo, PR 00659-1145
Phone (787) 597-9047
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
| License | State | Type | Specialty |
|---|---|---|---|
| 85364 | PR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1104541077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1145",
"city": "HATILLO",
"state": "PR",
"postal_code": "006591145",
"telephone_number": "787-597-9047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO CARRIZALES, CALLE LUIZ MUNOZ MARIN",
"address_2": "608",
"city": "HATILLO",
"state": "PR",
"postal_code": "00659",
"telephone_number": "787-597-9047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "JAIMAIRIS",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-04",
"last_updated": "2022-10-04",
"certification_date": "2022-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "85364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hatillo, PR
- Wanda I. Izquierdo Valle
- Jeannette Toledo Rodriguez
- Natalia Zayrah Jimenez Colon, MD
- Joyce Nicole Jimenez Rodriguez, SLP
- Obet Jimenez- Ortega, M.D.
- JL Gonzalez Rodriguez LLC
- Hector Juarbe, M.D.
- La Montana Physician Group Inc
- La Vida Medical Group Hatillo Corp
- La Vida Medical Group Hatillo Corp (Laboratorio Clinico Los Angeles Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.