Individual provider Active NPI

Niurka Alicea Jimenez, M.D.

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1285761452
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16633 Issued in PR
Practice address
8169 Calle Concordia
Edificio San Vicente Suite 412
Ponce, PR 00717-1554
Phone
(787) 284-5884
NPI assigned
Feb 27, 2007
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16633 PR Primary

Addresses

Primary practice location

8169 Calle Concordia
Edificio San Vicente Suite 412
Ponce, PR 00717-1554

Mailing address

8169 Calle Concordia
Edificio San Vicente Suite 412
Ponce, PR 00717-1554
Phone (787) 284-5884

Other identifiers 1

IdentifierTypeStateIssuer
16633OtherPRLICENCIA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070425000590 PR Practitioner - General Practice 5698871382 Practice locations: Juncos, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1285761452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA",
            "address_2": "EDIFICIO SAN VICENTE SUITE 412",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171554",
            "telephone_number": "787-284-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA",
            "address_2": "EDIFICIO SAN VICENTE SUITE 412",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171554",
            "telephone_number": "787-284-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA JIMENEZ",
        "first_name": "NIURKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "16633",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.