Individual provider Active NPI

Claudia Jimenez, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Caguas, PR
National Provider Identifier
1649793944
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
23284 Issued in PR
Practice address
Villa del Rey 2Da Sec
Ave Luis Munoz Marin Esq Carlo Magno 2F6
Caguas, PR 00725
Phone
(787) 704-0075
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23284 PR
Physical Medicine & Rehabilitation Physician 208100000X 23284 PR Primary

Addresses

Primary practice location

Villa del Rey 2Da Sec
Ave Luis Munoz Marin Esq Carlo Magno 2F6
Caguas, PR 00725

Mailing address

Villa del Rey 2Da Sec
Ave Luis Munoz Marin Esq Carlo Magno 2F6
Caguas, PR 00725
Phone (787) 704-0075

Other identifiers 1

IdentifierTypeStateIssuer
1649793944MedicaidPR

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
I20240722003695 PR Practitioner - Physical Medicine and Rehabilitation 0042756470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Puerto Rico School of Medicine, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Sports and Pain Interventions, PSCGroup PAC ID 6406165802, 11 clinicians

Practice addresses (Care Compare)

Villa del Rey 2Da Sec Ave Luis Munoz
Esq Carlo Magno 2F6
Caguas, PR 00725
Phone (787) 704-0075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23284PRMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Pain Interventions PSC CurrentSince Jul 8, 2024 Accepting new patients

Locations

2 Ave Luis Munoz Marin
#2
Caguas, PR 00725

M13 Calle 18
Caguas, PR 00725
Phone (787) 745-4355

Organizations & group practices 1

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1649793944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLA DEL REY 2DA SEC",
            "address_2": "AVE LUIS MUNOZ MARIN ESQ CARLO MAGNO 2F6",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-704-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA DEL REY 2DA SEC",
            "address_2": "AVE LUIS MUNOZ MARIN ESQ CARLO MAGNO 2F6",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-704-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "CLAUDIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23284",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "23284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649793944",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.