Individual provider Active NPI

Carlos Eduardo Jimenez-Robinson, D.M.D.

  • General Practice Dentistry
  • Fajardo, PR
National Provider Identifier
1154481372
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1529 Issued in PR
Practice address
53 Calle Munoz Rivera
Segundo Piso
Fajardo, PR 00738
Phone
(787) 863-0051
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1529 PR Primary

Addresses

Primary practice location

53 Calle Munoz Rivera
Segundo Piso
Fajardo, PR 00738

Mailing address

8 Calle Palmera
Palmar Sur - Isla Verde
Carolina, PR 00979-6307
Phone (787) 726-9357

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160511002120 PR Order and Referring Only - DentistPractitioner - Dentist 9032408273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154481372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CALLE PALMERA",
            "address_2": "PALMAR SUR - ISLA VERDE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796307",
            "telephone_number": "787-726-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 CALLE MUNOZ RIVERA",
            "address_2": "SEGUNDO PISO",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-863-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ-ROBINSON",
        "first_name": "CARLOS",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.