Ricky Jimenez, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

12272 Issued in PR

Practice address

29 Calle Washington
Ashford Medical Center Suite 202
San Juan, PR 00907-1510

Phone

(787) 977-5011

Fax

(787) 977-5062

NPI assigned

Aug 9, 2005

Last updated

Feb 16, 2010By 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

Gastroenterology

Education

University of Puerto Rico School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gastroenterology and Therapeutic Endoscopy Center PSCGroup PAC ID 5092941922, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Gastroenterology and Therapeutic Endoscopy Center PSC

  • Gastroenterology Physician
  • San Juan, PR
  • NPI 1831165265
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Presbyterian Community Hospital, Inc

  dba Ashford Presbyterian Community Hospital

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1770580813
  Care Compare affiliation

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1457352890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 CALLE CARITE",
            "address_2": "URB. VALLES DEL LAGO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257645",
            "telephone_number": "787-747-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON",
            "address_2": "ASHFORD MEDICAL CENTER SUITE 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071510",
            "telephone_number": "787-977-5011",
            "fax_number": "787-977-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "RICKY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "12272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loarisleidy Jimenez
• Maria C Jimenez, M.D.
• Maria E. Jimenez, PSY.D.
• Maria M. Jimenez
• Nilsa Marie Jimenez
• Tomas Jimenez, MD
• Yalizet Jimenez
• Zulaika S Jimenez, PHARMD
• Nichsma Jimenezz, DHSC
• Mark Jimerson, LICSW

• Gastroenterology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Gastroenterology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.