Active NPI
Harry O Jimenez, MD
- Endocrinology, Diabetes & Metabolism Physician
- San Juan, PR
National Provider Identifier
1497782551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 4171
- Practice address
- 1667 Calle Verbena
San Juan, PR 00927-6230 - Phone
- (787) 600-1051
- Fax
- (787) 520-9750
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 4171 | PR | Primary |
Addresses
Primary practice location
1667 Calle Verbena
San Juan, PR 00927-6230
Mailing address
PO Box 4211
Bayamon, PR 00958-1211
Phone (787) 600-1051
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120223000176 | PR | Practitioner - Endocrinology | 8729246699 | Practice locations: Bayamon, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
BB28 Ave Santa Juanita
Bayamon, PR 00956
Phone (787) 787-1152
Hospital & facility affiliations
- Hospital Espanol Auxilio Mutuo San Pablo
- Bayamon Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4171 | PR | MD | Pharmacy Technician |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bayamon, PR
- NPI 1518732700
-
- General Acute Care Hospital
- Bayamon, PR
- NPI 1912930488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1497782551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4211",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009581211",
"telephone_number": "787-600-1051",
"fax_number": "787-520-9750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1667 CALLE VERBENA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276230",
"telephone_number": "787-600-1051",
"fax_number": "787-520-9750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "HARRY",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PR",
"license": "4171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.