Jaris J. Jimenez Mejia, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15322 Issued in PR

Practice address

382 San Claudio Avenue
PMB 73
San Juan, PR 00926-9910

Phone

(787) 638-1618

Fax

(787) 754-1059

NPI assigned

Jul 14, 2006

Last updated

May 28, 2014By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metro Pavia Healthcare Centers Inc

  • Radiology Clinic/Center
  • Arecibo, PR
  • NPI 1760723696
  Medicare reassignment NPD
• Pediatrix Medical Group of Puerto Rico, P.S.C

  • Emergency Medical Services (Emergency Medicine) Physician
  • Arecibo, PR
  • NPI 1255319703
  Medicare reassignment NPD
• Metro Pavia Healthcare Center

  dba Metro Pavia Clinic Bella Vista

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1841694072
  NPD
• Metro Pavia Healthcare Centers Inc

  dba Metropavia Clinic Carolina

  • Emergency Care Clinic/Center
  • Carolina, PR
  • NPI 1720424195
  NPD
• Emergency Department Medical Services, CSP

  dba Edms,CSP

  • Emergency Medical Services (Emergency Medicine) Physician
  • San Juan, PR
  • NPI 1558589788
  NPD (past)
• Orthobone Surgical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Juan, PR
  • NPI 1861728552
  NPD (past)
• Preds, Corp

  • General Practice Physician
  • Luquillo, PR
  • NPI 1831318674
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1114943305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 73",
            "address_2": "382 SAN CLAUDIO AVENUE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269910",
            "telephone_number": "787-638-1618",
            "fax_number": "787-754-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 SAN CLAUDIO AVENUE",
            "address_2": "PMB 73",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269910",
            "telephone_number": "787-638-1618",
            "fax_number": "787-754-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ MEJIA",
        "first_name": "JARIS",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Marie Jimenez Cruz
• Hiram Judiel Jimenez Davila, MD
• Anyelina Jimenez Frias, MD
• Elaine Jimenez Gonzalez, M.D.
• Elizbeth Jimenez Luquis, MSW
• Keishla Jimenez Ortega
• Juan Carlos Jimenez Perez, MD
• Ricardo Enrique Jimenez Ramos, PHARMD
• Ricardo E Jimenez Reyes, PHD
• Elizabeth Jimenez Rolon

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.