Individual provider Active NPI

Jaime Cayetano Ledesma, M.D.

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1649479189
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16663 Issued in PR
Practice address
176 Calle Albizu Campos
Aguadilla, PR 00603-6303
Phone
(939) 202-0882
NPI assigned
Jul 14, 2007
Last updated
Dec 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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 16663 PR Primary

Addresses

Primary practice location

176 Calle Albizu Campos
Aguadilla, PR 00603-6303

Mailing address

Parque la Arboleda #32
Aguadilla, PR 00603-6303
Phone (939) 202-0882

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
I20080616000210 PR Practitioner - General Practice 0547331704 Practice locations: Aguada, PR; Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Calle Albizu Campos
Suite 176
Aguadilla, PR 00603
Phone (787) 891-1132

Parque la Arboleada
Suite 32
Aguadilla, PR 00603

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16663FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jaime Ledesma CSP Past Accepting new patients
J&D LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1649479189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARQUE LA ARBOLEDA #32",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006036303",
            "telephone_number": "939-202-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 CALLE ALBIZU CAMPOS",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006036303",
            "telephone_number": "939-202-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDESMA",
        "first_name": "JAIME",
        "middle_name": "CAYETANO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-14",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.