John Jimenez-Agosto, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5724 Issued in PR

Practice address

59 Calle Santa Cruz
Fourth Floor
Bayamon, PR 00961-6900

Phone

(787) 717-6240

NPI assigned

Oct 25, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1376533034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/ LIMONCILLO #73",
            "address_2": "SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276622",
            "telephone_number": "787-717-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CALLE SANTA CRUZ",
            "address_2": "FOURTH FLOOR",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616900",
            "telephone_number": "787-717-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ-AGOSTO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "5724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAT LICENSE",
            "identifier": "5724",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily M Jimenez Ramos
• Brenda Monserrate Jimenez Rivera, MD
• Jose Daniel Jimenez Rivera, MD
• Neysha Jimenez Rodriguez
• Ariana Alexandra Jimenez Sanchez, MEDICAL STUDENT
• Olga I. Jimenez-Mont
• Edil O Jimenez-Perez, M.D.
• Alma Jimenez, MD
• Arturo A Jimenez, RRT
• Felix A Jimenez

• Pediatrics Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.