Xavier Elias Jimenez, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2362 Issued in PR

Practice address

102 Calle Francisco Jaurregui
Arecibo, PR 00612-4572

Phone

(939) 585-6295

NPI assigned

Oct 31, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Mind in Motion

  • Mental Health Counselor
  • Arecibo, PR
  • NPI 1790588804
  NPD
• Tanama Healthcare LLC

  • Multi-Specialty Clinic/Center
  • Arecibo, PR
  • NPI 1427776186
  NPD
• Centro Psiquiatrico Cibao, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arecibo, PR
  • NPI 1801137427
  NPD (past)

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1285456038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1863",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006131863",
            "telephone_number": "939-585-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CALLE FRANCISCO JAURREGUI",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124572",
            "telephone_number": "939-585-6295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 Calle Dr Salas",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "006123953",
            "country_code": "US",
            "telephone_number": "787-879-2425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "XAVIER",
        "middle_name": "ELIAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "2362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia N Jimenez-Perez, LPN
• Amalio Jimenez
• Elias R Jimenez
• Glorimar Jimenez
• Ramonita Diaz Jimenez, ED.D;MS CPSY;CPL
• Jireh D&M Inc
• Jja Holdings LLC
• Jmo Medical Services
• Joel Estrada Mangual
• Jocelin Jones Molina, MD

• Medical Physician Assistant in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.