Luis Jimenez

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1234 Issued in PR

Practice address

4313 Ave Constancia
Urb Estancias del Carmen
Ponce, PR 00716-9999

Phone

(787) 597-7548

NPI assigned

Apr 27, 2016

Last updated

Jan 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Precision Hearing Center Inc

  • Audiologist
  • San Juan, PR
  • NPI 1972502276

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1396190369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 AVE CONSTANCIA",
            "address_2": "URB. ESTANCIAS DEL CARMEN",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162155",
            "telephone_number": "787-597-7548",
            "fax_number": "787-844-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 AVE CONSTANCIA",
            "address_2": "URB ESTANCIAS DEL CARMEN",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007169999",
            "telephone_number": "787-597-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "LUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "1234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA DE CONDUCIR",
            "identifier": "4782470",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Viviana Jimenez Marrero, MD, MPH
• Mariel Jimenez Rodriguez, MD
• Guillermo Andres Jimenez-Jordan
• Claudia Patricia Jimenez
• Glorimari Jimenez
• Rolando L Jimenez, M.D.
• Yahaira Jimenez
• Jjre Health Services LLC
• JM Infinitevision
• Jma Electrophysiology

• Occupational Therapist in Ponce, PR
• Providers in Ponce, PR by specialty
• Occupational Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.