Individual provider Active NPI

Edil O Jimenez-Perez, M.D.

  • Orthopaedic Surgery Physician
  • Bayamon, PR
National Provider Identifier
1184819773
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
18438 Issued in PR
Practice address
Bayamon Medical Plaza Ste 701
Carr #2 KM 11.7
Bayamon, PR 00959-0001
Phone
(787) 798-5500
Fax
(787) 787-2101
NPI assigned
Sep 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101252032 VA
Orthopaedic Surgery Physician 207X00000X 18438 PR Primary

Addresses

Primary practice location

Bayamon Medical Plaza Ste 701
Carr #2 KM 11.7
Bayamon, PR 00959-0001

Mailing address

261 Dorado BCH E
Dorado, PR 00646-2212
Phone (787) 475-3747

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
I20131004000410 PR Practitioner - Orthopedic Surgery 9234363201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University Central del Caribe Escuela de Medicina, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 Bayamon Medical PLZ
Suite 7
Bayamon, PR 00959
Phone (787) 798-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)18
Upper limb (arm) arthroscopy (minimally invasive joint repair)52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101252032VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics and Arthroscopic Institute CurrentSince Aug 1, 2013 Accepting new patients
PR Hand Ortho LLC Orthopaedic Surgery Past Accepting new patients
Bayamon Medical Center Corp Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: edil.jimenezperez@2621.securemail.prognocis.com

Organizations & group practices 3

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": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1184819773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 DORADO BCH E",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462212",
            "telephone_number": "787-475-3747",
            "fax_number": "787-854-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLAZA STE 701",
            "address_2": "CARR #2 KM 11.7",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009590001",
            "telephone_number": "787-798-5500",
            "fax_number": "787-787-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ-PEREZ",
        "first_name": "EDIL",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101252032",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "18438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.