Luis Alberto Mateo Jimenez

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

12309 Issued in PR

Practice address

Paseos de Atenas
Manati, PR 00674

Phone

(787) 854-1464

NPI assigned

Aug 3, 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

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

Specialty

Obstetrics/Gynecology

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dorado Health Inc

  dba Manati Medical Center

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1376605170
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1518975903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HACIENDAS HERMANAS MENA",
            "address_2": "CALLE VICTORIA 103",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745708",
            "telephone_number": "787-955-1807",
            "fax_number": "787-884-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEOS DE ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO JIMENEZ",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "12309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "81412",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Apolinar Ruiz Martinez
• Gilberto Martinez, BSPH
• Gustavo Martinez, DDS
• Samantha Martinez
• Adriana I Marzan Loyola, MD
• Maternity GYN Inc
• Maternity, Obstetrics and Maternal-Fetal Medicine Services, PSC
• Melvin Francisco Mathews Bermudez, D.P.M.
• Mayol Integrated LLC
• McEg PSC

• Obstetrics & Gynecology Physician in Manati, PR
• Providers in Manati, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.