Rafael Jenaro Jimenez Barreras, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

874 Issued in PR

Practice address

Calle Jose C Barbosa #56
Las Piedras, PR 00771-1793

Phone

(787) 733-2431

Fax

(787) 733-2431

NPI assigned

Aug 23, 2006

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Rafael J Jimenez Barreras Dentista CSP

  • Dentist
  • Las Piedras, PR
  • NPI 1841390085
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316054646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1793",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007711793",
            "telephone_number": "787-733-2431",
            "fax_number": "787-733-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JOSE C BARBOSA #56",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007711793",
            "telephone_number": "787-733-2431",
            "fax_number": "787-733-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ BARRERAS",
        "first_name": "RAFAEL",
        "middle_name": "JENARO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisol Hernandez, HEALTH EDUCATOR MAST
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• Dentist in Las Piedras, PR
• Providers in Las Piedras, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.