Emilio Jimenez Jr., M.D., F.A.C.O.G.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

3363 Issued in PR

Practice address

6 Calle Jose Fernandez
San Juan, PR 00918-4404

Phone

(787) 763-1612

Fax

(787) 753-7615

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Emilio Jimenez Ortiz Jr. Other name

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

Specialty

Obstetrics/Gynecology

Education

University of Puerto Rico School of Medicine, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Oncologico Dr Isaac Gonzalez Martinez Hospital, San Juan, PR, CCN 400012

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Liga Puertorriquena Contra El Cancer

  • Special Hospital
  • San Juan, PR
  • NPI 1407852338
  NPD (past)
• PL Derma PSC

  • Dermatology Physician
  • San Juan, PR
  • NPI 1760522114
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Liga Puertorriquena Contra El Cancer

  • Special Hospital
  • San Juan, PR
  • NPI 1407852338
  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1255309134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22678",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009312678",
            "telephone_number": "787-763-1612",
            "fax_number": "787-753-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CALLE JOSE FERNANDEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184404",
            "telephone_number": "787-763-1612",
            "fax_number": "787-753-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "EMILIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D., F.A.C.O.G.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "3363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPFRE",
            "identifier": "3363",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "209155",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9260002",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "94854JI",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "062010",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI",
            "identifier": "3363",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS(MMM)",
            "identifier": "601385",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "3-3363",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILIO",
            "last_name": "JIMENEZ ORTIZ",
            "suffix": "JR.",
            "credential": "M.D., F.A.C.O.G.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carlos E Jimenez, MD
• Daniel Antonio Jimenez
• Daniel Jose Jimenez
• Edgardo E Jimenez, M.D
• Elena Maria Jimenez, MD
• Emilio Francisco Jimenez, DC
• Emma Jimenez
• Esther Jimenez, R.D.
• Esther Jimenez
• Francisco Jimenez, M.D.

• Obstetrics & Gynecology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.