Luis E Jimenez Berroa, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

11226 Issued in PR

Practice address

San Juan City Hospital
Medical Center
San Juan, PR 00936

Phone

(787) 766-2223

NPI assigned

Aug 25, 2005

Last updated

Nov 14, 2012By 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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Municipality of San Juan PR

  dba Hospital San Juan

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1154391415
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1437142403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8731",
            "address_2": "PLAZA CAROLINA STATION",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009888731",
            "telephone_number": "787-721-4836",
            "fax_number": "787-721-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JUAN CITY HOSPITAL",
            "address_2": "MEDICAL CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-766-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ BERROA",
        "first_name": "LUIS",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "11226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JG Health Services LLC (Farmacia Nueva Rey)
• JGC Health LLC
• JH Medic Billing Inc
• Gabriel Antonio Jimenez Berrios
• Miguel Antonio Jimenez Berrios
• Tomas D Jimenez Chafey, M.D.
• Jeanette Jimenez Colon, PH. D
• Zoe M Jimenez Corretjer
• Jocelyn Marie Jimenez Cruz
• Hiram Judiel Jimenez Davila, MD

• Specialist in San Juan, PR
• Providers in San Juan, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.

Verify at the official NPI Registry.