NPIMap

Organization Active NPI

Front Sight Anesthesia, PSC

  • Pain Medicine (Anesthesiology) Physician
  • Aguadilla, PR
National Provider Identifier
1295711075
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
10854 Issued in PR
Legal business name
FRONT SIGHT ANESTHESIA, PSC
Practice address
Carr #2 KM 129.3 Bo Victoria
Oficina #13 Aguadilla Medical Services
Aguadilla, PR 00605
Phone
(787) 997-0870
Fax
(787) 997-0870
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Juan Ramon Jimenez Jr., MDNPI 1144414665
Title
President / Owner
Phone
(787) 640-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 10854 PR Primary

Addresses

Primary practice location

Carr #2 KM 129.3 Bo Victoria
Oficina #13 Aguadilla Medical Services
Aguadilla, PR 00605

Mailing address

PO Box 250435
Aguadilla, PR 00604-0435
Phone (787) 907-0870

Other identifiers 15

IdentifierTypeStateIssuer
601138OtherMEDICARE Y MUCHO MAS
6050002OtherHUMANA INSURANCE
0510807OtherACAA
1086OtherPREFERRED MEDOCARE CHOICE
200232OtherHUMANA REFORMA
581633650MedicaidPR
6050037OtherHUMANA HEALTH PLANS
AN81778OtherUIA
061348OtherCRUZ AZUL DE PR
90437OtherSSS SSS REFORMA SSS OPTIM
=========OtherCOSVI MED
208062OtherPREFERRED HEALTH
PE3949OtherPANAMERICAN LIFE INSURANC
581633650OtherAETNA
2534OtherAMERICAN HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081008000888 PR Part B Supplier - Clinic/Group Practice 6608944251 Receives reassigned benefits from 1 practitioner
Practice locations: Aguadilla, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1295711075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250435",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006040435",
            "telephone_number": "787-907-0870",
            "fax_number": "787-997-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 129.3 BO VICTORIA",
            "address_2": "OFICINA #13 AGUADILLA MEDICAL SERVICES",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-997-0870",
            "fax_number": "787-997-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT SIGHT ANESTHESIA, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "787-640-1234",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PR",
            "license": "10854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "601138",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "6050002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "0510807",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDOCARE CHOICE",
            "identifier": "1086",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA REFORMA",
            "identifier": "200232",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "581633650",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLANS",
            "identifier": "6050037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA",
            "identifier": "AN81778",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL DE PR",
            "identifier": "061348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS SSS REFORMA SSS OPTIM",
            "identifier": "90437",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI MED",
            "identifier": "=========",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "208062",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PANAMERICAN LIFE INSURANC",
            "identifier": "PE3949",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "581633650",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "2534",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.