Individual provider Active NPI

Julio E Jimenez Soto, M.D.

  • Specialist
  • Caguas, PR
National Provider Identifier
1689609380
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8897 Issued in PR
Practice address
50 Ave L Munoz Marin Quadrangle Medical Center
Suite 303
Caguas, PR 00725-3975
Phone
(787) 745-2666
NPI assigned
Jul 11, 2006
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8897 PR Primary

Addresses

Primary practice location

50 Ave L Munoz Marin Quadrangle Medical Center
Suite 303
Caguas, PR 00725-3975

Mailing address

50 Ave L Munoz Marin
Suite 303
Caguas, PR 00725-3975
Phone (787) 745-2666

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
I20120309000472 PR Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8820257868 Reassigns benefits to 1 organization
Practice locations: Caguas, PR; San Lorenzo, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

50 Ave L Munoz Marin
Caguas, PR 00725-3975
Phone (787) 745-2666

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8897PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiologia Preventiva CSP Cardiovascular Disease CurrentSince Dec 1, 2018 Accepting new patients
Gely Jimenez Cardiologos CSP Specialist Past Accepting new patients

Locations

50 Ave Luis Munoz Marin
Ste 303
Caguas, PR 00725
Phone (787) 745-2666

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1689609380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 AVE L MUNOZ MARIN",
            "address_2": "SUITE 303",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253975",
            "telephone_number": "787-745-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AVE L MUNOZ MARIN QUADRANGLE MEDICAL CENTER",
            "address_2": "SUITE 303",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253975",
            "telephone_number": "787-745-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ SOTO",
        "first_name": "JULIO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "8897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.