Obet Jimenez- Ortega, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15074 Issued in PR

Practice address

121 Ave Dr Susoni
Hatillo, PR 00659-1843

Phone

(787) 262-8526

Fax

(787) 898-1592

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Eo. Ambulance Services Inc

  • Land Ambulance
  • Camuy, PR
  • NPI 1952564791
  NPD Authorized official
• Wenchy Ambulance

  • Ambulance
  • Camuy, PR
  • NPI 1235171695
  NPD (past) Authorized official
• Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo

  • Federally Qualified Health Center (FQHC)
  • Hatillo, PR
  • NPI 1306877279

  General Practice

  NPD

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1467488379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270850",
            "telephone_number": "787-898-5584",
            "fax_number": "787-898-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 AVE DR SUSONI",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591843",
            "telephone_number": "787-262-8526",
            "fax_number": "787-898-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ- ORTEGA",
        "first_name": "OBET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S /MEDICARE",
            "identifier": "0022079",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannia Izagas
• Wanda I. Izquierdo Valle
• Jeannette Toledo Rodriguez
• Natalia Zayrah Jimenez Colon, MD
• Joyce Nicole Jimenez Rodriguez, SLP
• Jaimairis Jimenez
• JL Gonzalez Rodriguez LLC
• Hector Juarbe, M.D.
• La Montana Physician Group Inc
• La Vida Medical Group Hatillo Corp

• General Practice Physician in Hatillo, PR
• Providers in Hatillo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.