Individual provider Active NPI

Hector Delucca Jimenez, M.D.

  • Pain Medicine Physician
  • Caguas, PR
National Provider Identifier
1295963155
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
20619 Issued in PR
Practice address
201 Calle Gautier Benitez Ste 400
Caguas, PR 00725-5527
Phone
(787) 957-8282
Fax
(787) 665-1165
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 20619 PR
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 20619 PR Primary

Addresses

Primary practice location

201 Calle Gautier Benitez Ste 400
Caguas, PR 00725-5527

Mailing address

201 Calle Gautier Benitez Ste 400
Caguas, PR 00725-5527
Phone (787) 957-8282

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
I20140724001255 PR Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 7315177292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
University Central del Caribe Escuela de Medicina, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PR Pain Group LLCGroup PAC ID 9133441157, 3 clinicians

Practice addresses (Care Compare)

201 Calle Gautier Benitez
Suite 400
Caguas, PR 00725-5527
Phone (787) 957-8282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20619PRMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain & Spine Specialists LLC Multi-Specialty Current Accepting new patients
PR Pain Group LLC Multi-Specialty CurrentSince Oct 17, 2014 Accepting new patients
The Clearwater Orthopaedic ASC LLC Past Accepting new patients
PM & R Medical Diagnostics PSC Multi-Specialty PastSince Jun 1, 2015 Accepting new patients

Locations

201 Calle Gautier Benitez
Ste 400
Caguas, PR 00725
Phone (787) 957-8282

1353 Ave Luis Vigoreaux
Guaynabo, PR 00966

Interoperability endpoints

  • Direct secure messaging: hdeluccajimenez@1953.securemail.prognocis.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727568000000",
    "number": "1295963155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CALLE GAUTIER BENITEZ STE 400",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255527",
            "telephone_number": "787-957-8282",
            "fax_number": "787-665-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CALLE GAUTIER BENITEZ STE 400",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255527",
            "telephone_number": "787-957-8282",
            "fax_number": "787-665-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCCA JIMENEZ",
        "first_name": "HECTOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PR",
            "license": "20619",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PR",
            "license": "20619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.