Gabriel Jimenez Puig, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

389 Issued in PR

Practice address

407 Calle del Parque
Third Floor
Santurce, PR 00912-3730

Phone

(787) 721-3627

Fax

(787) 721-3650

NPI assigned

Mar 17, 2006

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1487623641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CALLE DEL PARQUE",
            "address_2": "THIRD FLOOR",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009123730",
            "telephone_number": "787-721-3627",
            "fax_number": "787-721-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CALLE DEL PARQUE",
            "address_2": "THIRD FLOOR",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009123730",
            "telephone_number": "787-721-3627",
            "fax_number": "787-721-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ PUIG",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Instituto Medicina Nuclear
• Instituto Podiatrico de Puerto Rico
• Instituto Sueno Europa
• Integrated Healthcare Center,Inc
• Internal Medicine Hospital Services PSC
• Osvaldo Jimenez-Mercado, M.D.
• Victoria Jimenez-Suarez, PH. D.
• Isabelle Kallis Colon, PH.D
• Helen Sophia Kallis, DC
• Lab Clinico Umpierre

• General Practice Dentistry in Santurce, PR
• Providers in Santurce, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.