Individual provider Active NPI

Carlos Enrique Jimenez-Huyke, M.D.

  • Gastroenterology Physician
  • Humacao, PR
National Provider Identifier
1144278045
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
14798 Issued in PR
Practice address
Suite a-2 Carr 908 KM 0.4
Bo Tejas
Humacao, PR 00792
Phone
(787) 852-1358
Fax
(787) 850-1388
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 14798 PR Primary

Addresses

Primary practice location

Suite a-2 Carr 908 KM 0.4
Bo Tejas
Humacao, PR 00792

Mailing address

100 Grand Paseo Blvd 112
PMB 500
San Juan, PR 00926
Phone (787) 567-4855

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000184 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 6901829217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Puerto Rico School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Ave 65 Infanteria KM 8 HM
3 R.D.C.M. GRP Med Intrna Hac
Carolina, PR 00984-0001
Phone (787) 757-6420

Suite a-Z Professional Plaza Carr
908 Bo Tejas
Humacao, PR 00792
Phone (787) 852-0768

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy97
Upper gastrointestinal (GI) endoscopy for acid reflux63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14798PRMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos E. Jimenez Huyke MD PSC CurrentSince Dec 1, 2003 Accepting new patients

Locations

355 Ave Font Martelo
Ste 409
Humacao, PR 00791

100 Grand Paseo Blvd
Ste 112
San Juan, PR 00926
Phone (787) 708-0138

100 Grand Paseo Blvd
San Juan, PR 00926
Phone (787) 283-2555

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1144278045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND PASEO BLVD 112",
            "address_2": "PMB 500",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-567-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE A-2 CARR 908 KM 0.4",
            "address_2": "BO TEJAS",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00792",
            "telephone_number": "787-852-1358",
            "fax_number": "787-850-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ-HUYKE",
        "first_name": "CARLOS",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "14798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.