Active NPI
Carlos E Jimenez, MD
- Nuclear Medicine Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 11046
- Practice address
- Ashford Presby Hospital Nuclear Medicine Laboratory
1St Floor , Ashford Ave
San Juan, PR 00907 - Phone
- (787) 724-3500
- Fax
- (787) 725-0485
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 11046 | PR | |
| Nuclear Medicine Physician | 207U00000X | 11046 | PR | Primary |
Addresses
Primary practice location
Ashford Presby Hospital Nuclear Medicine Laboratory
1St Floor , Ashford Ave
San Juan, PR 00907
Mailing address
35 Juan Borbon St
PMB 130
Guaynabo, PR 00969-5375
Phone (787) 724-3500
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
Care Compare profile
Medicare Care Compare- Specialty
- Nuclear Medicine
- Education
- Ponce School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
280 Ave Marginal Kennedy
Guaynabo, PR 00968-1746
Phone (787) 620-5772
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 90
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11046 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Patricio MRI & CT Center, P.S.C. | Current | Accepting new patients | |
| Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe | Current | Accepting new patients | |
| Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe | Current | Accepting new patients | |
| Laboratorio de Medicina Nuclear & Pet Inc | Nuclear Medicine | Past | Accepting new patients |
| Lab Medicina Nuclear PSC | Nuclear Medicine | Past | Accepting new patients |
Locations
280 Ave Marginal Kennedy
Guaynabo, PR 00968
Phone (787) 620-5757
Organizations & group practices 5
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.
-
dba San Patricio Medflix
- Radiology Clinic/Center
- Guaynabo, PR
- NPI 1326012675
-
- Special Hospital
- Rio Piedras, PR
- NPI 1225017916
-
- Multi-Specialty Clinic/Center
- San Juan, PR
- NPI 1801485727
-
- Nuclear Medicine Physician
- SJ, PR
- NPI 1801065610
-
- Nuclear Medicine Physician
- San Juan, PR
- NPI 1144282708
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ashford Presbyterian Community Hospital
- General Acute Care Hospital
- San Juan, PR
- NPI 1770580813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1609841667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 JUAN BORBON ST",
"address_2": "PMB 130",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695375",
"telephone_number": "787-724-3500",
"fax_number": "787-725-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ASHFORD PRESBY HOSPITAL NUCLEAR MEDICINE LABORATORY",
"address_2": "1ST FLOOR , ASHFORD AVE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-724-3500",
"fax_number": "787-725-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "CARLOS",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "PR",
"license": "11046",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "PR",
"license": "11046",
"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 1, 2012; 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.