NPIMap

Organization Active NPI

Clinica de Cuidado Medico, Inc.

  • Clinic/Center
  • Ciales, PR
National Provider Identifier
1275567455
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
84 Issued in PR
Legal business name
CLINICA DE CUIDADO MEDICO, INC.
Practice address
4 Calle Hospital
Ciales, PR 00638-3310
Phone
(787) 871-1098
NPI assigned
Jul 11, 2006
Last updated
Dec 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Dr. Jorge D. Jimenez, MD
Title
Presidente
Phone
(787) 871-1098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 84 PR Primary

Addresses

Primary practice location

4 Calle Hospital
Ciales, PR 00638-3310

Mailing address

PO Box 1347
Ciales, PR 00638-1347
Phone (787) 871-0587

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040826000835 PR Part B Supplier - Clinic/Group Practice 4880669654 Receives reassigned benefits from 2 practitioners
Practice locations: Ciales, PR

National Provider Directory

National Provider Directory
Tax ID family
Clinica Cuidado Medico Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1275567455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1347",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006381347",
            "telephone_number": "787-871-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE HOSPITAL",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383310",
            "telephone_number": "787-871-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE CUIDADO MEDICO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-871-1098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "84",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ciales, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.