Active NPI
Alejandro Jimenez Ramirez, O.D.
- Optometrist
- Moca, PR
National Provider Identifier
1255416921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 356
- Practice address
- 202 Ave la Moca Ste 2
Moca, PR 00676-4013 - Phone
- (787) 818-5602
- Fax
- (787) 818-5602
- NPI assigned
- Oct 25, 2006
- Last updated
- Apr 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 356 | PR | Primary |
Addresses
Primary practice location
202 Ave la Moca Ste 2
Moca, PR 00676-4013
Mailing address
PO Box 52
Aguada, PR 00602-0052
Phone (787) 818-5602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0356 | Other | PR | LICENSE |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071221000446 | PR | Practitioner - Optometry | 0042300428 | Practice locations: Moca, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1255416921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52",
"city": "AGUADA",
"state": "PR",
"postal_code": "006020052",
"telephone_number": "787-818-5602",
"fax_number": "787-818-5602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 AVE LA MOCA STE 2",
"city": "MOCA",
"state": "PR",
"postal_code": "006764013",
"telephone_number": "787-818-5602",
"fax_number": "787-818-5602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ RAMIREZ",
"first_name": "ALEJANDRO",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0356",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moca, PR
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- Olga L Irizarry
- Jensen J Feliciano-Muniz (Feliciano Medical Transport)
- Roberto Jimenez
- Yanitza Jimenez
- Jose Daniel Mercado Galarza (Puerto Rico Emergency Services)
- Joy Group Corporation
- Juan a Sierra Vega (Brother Ambulance Service)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.