Active NPI
Jose Ricardo De Leon-Jimenez, M.D.
- Otolaryngology Physician
- Carolina, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 12876
- Practice address
- Plaza Carolina Mall
Tercer Nivel Suite 11
Carolina, PR 00983 - Phone
- (787) 776-1511
- Fax
- (787) 776-1531
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 12876 | PR | Primary |
Addresses
Primary practice location
Plaza Carolina Mall
Tercer Nivel Suite 11
Carolina, PR 00983
Mailing address
1357 Ave Ashford
PMB 428
San Juan, PR 00907-2035
Phone (787) 776-1511
Other practice location 1
Plaza Las Americas
Torre de Plaza Suite 907
San Juan, PR 00918-1581
Phone (787) 281-1200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Puerto Rico School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Plaza Carolina Mall
Tercer Nivel Suite 11
Carolina, PR 00983-0001
Phone (787) 776-1511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Condado Otolaryngology PSC | Otolaryngology | Current | Accepting new patients |
Locations
1452 Ave Ashford
Ste 407
San Juan, PR 00907
Phone (787) 281-1200
Organizations & group practices 1
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.
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- San Juan, PR
- NPI 1629031331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1376506071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1357 AVE ASHFORD",
"address_2": "PMB 428",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009072035",
"telephone_number": "787-776-1511",
"fax_number": "787-785-8981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAZA CAROLINA MALL",
"address_2": "TERCER NIVEL SUITE 11",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-776-1511",
"fax_number": "787-776-1531"
}
],
"practiceLocations": [
{
"address_1": "Plaza Las Americas",
"address_2": "Torre de Plaza Suite 907",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009181581",
"country_code": "US",
"telephone_number": "787-281-1200",
"fax_number": "787-811-2042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LEON-JIMENEZ",
"first_name": "JOSE",
"middle_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PR",
"license": "12876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.