Jev Professional Healthcare PSC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17086 Issued in PR

Legal business name

JEV PROFESSIONAL HEALTHCARE PSC

Practice address

2122 Calle Onfala
Alto Apolo
Guaynabo, PR 00969-4932

Phone

(787) 264-9806

NPI assigned

May 30, 2013

Last updated

Dec 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rene E Velez Rodriguez, M.D.NPI 1487814778

Title

MD General Practice

Phone

(787) 264-9806

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rene E Velez Rodriguez, MD

  • General Practice Physician
  • Guaynabo, PR
  • NPI 1487814778
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1144667213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 CALLE ONFALA",
            "address_2": "ALTO APOLO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694932",
            "telephone_number": "787-264-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 CALLE ONFALA",
            "address_2": "ALTO APOLO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694932",
            "telephone_number": "787-264-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEV PROFESSIONAL HEALTHCARE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "VELEZ RODRIGUEZ",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD GENERAL PRACTICE",
        "authorized_official_telephone_number": "787-264-9806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN MEDICARE",
            "identifier": "28622",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Francisco Arnaldo Jimenez Camacho, PHARMD
• Antonio Jimenez Chinea, MD
• Virgilio Jimenez Marte, 0719P
• Andrea M Jimenez Negron, DC
• Yenifer Yesenia Jimenez Ortega, PA

• General Practice Physician in Guaynabo, PR
• Providers in Guaynabo, 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 Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.