Individual provider Active NPI

Waleska Milagros Jimenez Galarza, MD

  • General Practice Physician
  • Juana Diaz, PR
National Provider Identifier
1154885564
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21215 Issued in PR
Practice address
88 Calle 5
Jacaguas Sector Bayoan
Juana Diaz, PR 00795
Phone
(787) 312-0936
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21215 PR Primary

Addresses

Primary practice location

88 Calle 5
Jacaguas Sector Bayoan
Juana Diaz, PR 00795

Mailing address

HC 3 Box 15245
Juana Diaz, PR 00795-9859
Phone (787) 312-0936

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
I20190709001827 PR Practitioner - General Practice 5799010096 Reassigns benefits to 4 organizations
Practice locations: Coamo, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Pavia Healthcare Centers Inc CurrentSince Mar 1, 2019 Accepting new patients
Integrate Community Health System CurrentSince Jul 1, 2019 Accepting new patients
Clinica Yaguez, Inc. CurrentSince Sep 12, 2019 Accepting new patients
Mennonite General Hospital Inc CurrentSince Jun 1, 2020 Accepting new patients
Metro Pavia Healthcare Centers Inc Current Accepting new patients
Mennonite General Hospital Inc. CurrentSince Jun 1, 2020 Accepting new patients
Clinica Yaguez, Inc CurrentSince Sep 12, 2019 Accepting new patients
Integrate Community Health System Current Accepting new patients
Metro Pavia Healthcare Center CurrentSince Mar 1, 2019 Accepting new patients
Integrate Community Health System, Inc. CurrentSince Jul 1, 2019 Accepting new patients

Locations

117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1154885564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 15245",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959859",
            "telephone_number": "787-312-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CALLE 5",
            "address_2": "JACAGUAS SECTOR BAYOAN",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-312-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ GALARZA",
        "first_name": "WALESKA",
        "middle_name": "MILAGROS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

Verify at the official NPI Registry.