Suzanne Marie Jimenez, RD, LND

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1859 Issued in PR

Practice address

Professional Plaza Carr 908 KM 0.4
Suite A2, Tejas
Humacao, PR 00792

Phone

(787) 314-9305

NPI assigned

Dec 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1346661279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CARR 169 APT 401",
            "address_2": "COND BALCONES DE GUAYNABO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-314-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROFESSIONAL PLAZA CARR 908 KM 0.4",
            "address_2": "SUITE A2, TEJAS",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00792",
            "telephone_number": "787-314-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RD, LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1045612",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JCN Radiology Associates, Inc.
• JCN Radiology, PSC
• Jimenez-Huyke Medical Offices, M.D. , L.L.C.
• Carlos Enrique Jimenez-Huyke, M.D.
• Jose Raul Jimenez, MD
• Jimergency Medical Transport Inc.
• JK Optical Inc.
• John C Kagan MD LLC
• Jose a. de Leon Y Asociados, Inc.
• JRM Anesthesiologist Inc

• Nutritionist in Humacao, PR
• Providers in Humacao, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.