NPIMap

Organization Active NPI

Jimenez Chinea Renal Care LLC

  • Nephrology Physician
  • Toa Alta, PR
National Provider Identifier
1194295337
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
JIMENEZ CHINEA RENAL CARE LLC
Practice address
87 Calle Jose de Diego
Toa Alta, PR 00953-2415
Phone
(787) 870-2367
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Dr. Antonio Jimenez Chinea, MDNPI 1093034084
Title
President
Phone
(787) 379-0995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

87 Calle Jose de Diego
Toa Alta, PR 00953-2415

Mailing address

76 Reina de Las Flores
Urb Estancias de Torrimar
Guaynabo, PR 00966
Phone (787) 379-0995

Other identifiers 1

IdentifierTypeStateIssuer
21122OtherPRLIC MD

Other names 1

  • Jimenez Chinea Renal Care LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190522001823 PR Part B Supplier - Clinic/Group Practice 7113260787 Receives reassigned benefits from 1 practitioner
Practice locations: Guaynabo, PR; Toa Alta, PR

National Provider Directory

National Provider Directory

Locations

87 Calle Jose de Diego
Toa Alta, PR 00953
Phone (787) 870-2367

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1194295337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 REINA DE LAS FLORES",
            "address_2": "URB ESTANCIAS DE TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-379-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 CALLE JOSE DE DIEGO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009532415",
            "telephone_number": "787-870-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMENEZ CHINEA RENAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ CHINEA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-379-0995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC MD",
            "identifier": "21122",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jimenez Chinea Renal Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.