Active NPI
Daniel Antonio Jimenez
- Other Technician
- San Juan, PR
National Provider Identifier
1649855701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 700 Calle Dr. Manuel F. Pavia
Suite 301
San Juan, PR 00909 - Phone
- (787) 284-5884
- NPI assigned
- Mar 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
700 Calle Dr. Manuel F. Pavia
Suite 301
San Juan, PR 00909
Mailing address
700 Calle Dr. Manuel F. Pavia
Suite 301
San Juan, PR 00909
Phone (787) 284-5884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Ararat Inc | Current | Accepting new patients |
Locations
700 Calle Pavia
Ste 301
San Juan, PR 00909
Phone (787) 496-0818
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.
-
- Multi-Specialty Clinic/Center
- San Juan, PR
- NPI 1902456221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1649855701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CALLE DR. MANUEL F. PAVIA",
"address_2": "SUITE 301",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-284-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CALLE DR. MANUEL F. PAVIA",
"address_2": "SUITE 301",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-284-5884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "DANIEL",
"middle_name": "ANTONIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"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 Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.