Carlos E. Jimenez Huyke MD PSC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

14798 Issued in PR

Legal business name

CARLOS E. JIMENEZ HUYKE MD PSC

Practice address

Suite a-2 Professional Plaza
Carr 908 KM 0.4 Bo. Tejas
Humacao, PR 00792

Phone

(787) 852-1358

Fax

(787) 850-1388

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Carlos E Jimenez, MD

Title

President

Phone

(787) 852-1358

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Enrique Jimenez-Huyke, M.D.

  • Gastroenterology Physician
  • Humacao, PR
  • NPI 1144278045
  Medicare reassignment NPD

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1700056702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 500",
            "address_2": "100 GRAND POSEO BLVD 112",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-283-0804",
            "fax_number": "787-761-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE A-2 PROFESSIONAL PLAZA",
            "address_2": "CARR 908 KM 0.4 BO. TEJAS",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00792",
            "telephone_number": "787-852-1358",
            "fax_number": "787-850-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS E. JIMENEZ HUYKE MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-852-1358",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "14798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR MEDICAL LICENSE",
            "identifier": "14798",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardiocare Plus LLC
• Edgar Augusto Cardona-Traverzo, MD
• Caribbean Med Inc
• Caribbean Therapeutic & Educational Group Inc.
• Nahir Ivette Carino Romero
• Maria Enid Carradero, RPH
• Alexander Carrasquillo
• Gladysiris Carrasquillo, MT
• Juan Carrasquillo Sr.
• Yetsenia Carrasquillo

• Medical Specialty Clinic/Center in Humacao, PR
• Providers in Humacao, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.