Individual provider Active NPI

Glaritza Jimenez Torres, M.D.

  • General Practice Physician
  • Canovanas, PR
National Provider Identifier
1548612450
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19411 Issued in PR
Practice address
644 Calle 6
Urb Qtas de Canovanas
Canovanas, PR 00729-3912
Phone
(787) 225-7253
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19411 PR Primary

Addresses

Primary practice location

644 Calle 6
Urb Qtas de Canovanas
Canovanas, PR 00729-3912

Mailing address

644 Calle 6
Urb Qtas de Canovanas
Canovanas, PR 00729-3912
Phone (787) 225-7253

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
I20161019002818 PR Practitioner - General Practice 1052609336 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc General Practice CurrentSince Aug 29, 2016 Accepting new patients
Cossma, Inc. CurrentSince Jan 28, 2025 Accepting new patients
Cossma Inc CurrentSince Jan 28, 2025 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Aug 29, 2016 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1548612450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 CALLE 6",
            "address_2": "URB QTAS DE CANOVANAS",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293912",
            "telephone_number": "787-225-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 CALLE 6",
            "address_2": "URB QTAS DE CANOVANAS",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293912",
            "telephone_number": "787-225-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ TORRES",
        "first_name": "GLARITZA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

Verify at the official NPI Registry.