Individual provider Active NPI

Yorlenis Hevia-Jimenez, M.D.

  • Emergency Medicine Physician
  • Aibonito, PR
National Provider Identifier
1487938684
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
19928 Issued in PR
Practice address
726 Ave Estatal Jose C Vazquez St
Urb Vila Rosales
Aibonito, PR 00705-0000
Phone
(787) 735-8001
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 19928 PR Primary
Emergency Medicine Physician 207P00000X A137352 CA

Addresses

Primary practice location

726 Ave Estatal Jose C Vazquez St
Urb Vila Rosales
Aibonito, PR 00705-0000

Mailing address

Ave.Tito Castro Suite 102
Pmb124
Ponce, PR 00716
Phone (787) 735-8001

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160212001730 PR Practitioner - Emergency Medicine 0648574509 Practice locations: Aibonito, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A137352CAMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1487938684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE.TITO CASTRO SUITE 102",
            "address_2": "PMB124",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-735-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 AVE ESTATAL JOSE C VAZQUEZ ST",
            "address_2": "URB VILA ROSALES",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007050000",
            "telephone_number": "787-735-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEVIA-JIMENEZ",
        "first_name": "YORLENIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "19928",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A137352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

Verify at the official NPI Registry.