Jose V Jimenez Tirado, CLSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16122 Issued in PR

Practice address

Urb.Jose Delgado E11 Calle 7
Caguas, PR 00725-0072

Phone

(939) 239-6995

NPI assigned

Feb 6, 2023

Last updated

Aug 11, 2023By the provider in NPPES

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

Other identifiers 1

Other names 1

• Mr. Jose V Jimenez Tirado Professional name

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1316643885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 10 BOX 49467",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007259605",
            "telephone_number": "939-239-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB.JOSE DELGADO E11 CALLE 7",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007250072",
            "telephone_number": "939-239-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ TIRADO",
        "first_name": "JOSE",
        "middle_name": "V",
        "credential": "CLSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "16122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16122",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "JIMENEZ TIRADO",
            "middle_name": "V",
            "prefix": "MR.",
            "credential": "CLSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christina Mercedes Jimenez Gonzalez, MA
• Luis A Jimenez Reyes, MD
• Mayra Jimenez Rivera, M.D.
• Christian Jesus Jimenez Rodriguez
• Julio E Jimenez Soto, M.D.
• Aitsa Jimenez Velez, MD
• Dariselle Jimenez-Ortiz, PHD
• Claudia Jimenez, M.D.
• Darelsa Jimenez, PSY.D
• Edgar Jimenez

• Clinical Social Worker in Caguas, PR
• Providers in Caguas, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.