Individual provider Active NPI

Tomas Jimenez, MD

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1184613499
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
7072 Issued in PR
Practice address
1451 Avenida Ashford
Radiology Department First Floor
San Juan, PR 00907-1511
Phone
(787) 725-5955
Fax
(787) 725-5955
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 7072 PR Primary

Addresses

Primary practice location

1451 Avenida Ashford
Radiology Department First Floor
San Juan, PR 00907-1511

Mailing address

29 Calle Washington
Suite 501
San Juan, PR 00907-1510
Phone (787) 725-5955

Other identifiers 2

IdentifierTypeStateIssuer
068545OtherPRCRUZ AZUL
98588OtherPRTRIPLE S

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
I20120907000061 PR Practitioner - Diagnostic Radiology 8820245608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashford Medical Center Radiology Offices PSCGroup PAC ID 8921255704, 6 clinicians

Practice addresses (Care Compare)

1451 Ave Ashford
San Juan, PR 00907-1511
Phone (787) 725-5955

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7072PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashford Medical Center Radiology Offices PSC Diagnostic Radiology Current Accepting new patients

Locations

29 Calle Washington
Ste 501
San Juan, PR 00907
Phone (787) 725-5955

1451 Avenida Ashford
Ste 1
San Juan, PR 00907
Phone (787) 725-5955

Organizations & group practices 1

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 1

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1184613499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON",
            "address_2": "SUITE 501",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071510",
            "telephone_number": "787-725-5955",
            "fax_number": "787-722-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 AVENIDA ASHFORD",
            "address_2": "RADIOLOGY DEPARTMENT FIRST FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071511",
            "telephone_number": "787-725-5955",
            "fax_number": "787-725-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "TOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "7072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "068545",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "98588",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.