Active NPI
Luz M Jimenez Morales, MD
- General Practice Physician
- Hormigueros, PR
National Provider Identifier
1710950183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 016208
- Practice address
- Carr. #2 Int. Carr. 345 KM. 164.4
Casa Blanca Shopping Center
Hormigueros, PR 00660 - Phone
- (787) 849-0099
- Fax
- (787) 849-0099
- NPI assigned
- Feb 8, 2006
- Last updated
- Jun 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | 16208 | PR | |
| General Practice Physician | 208D00000X | 016208 | PR | Primary |
Addresses
Primary practice location
Carr. #2 Int. Carr. 345 KM. 164.4
Casa Blanca Shopping Center
Hormigueros, PR 00660
Mailing address
PO Box 159
San German, PR 00683-0159
Phone (787) 892-6796
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060126000155 | PR | Practitioner - General Practice | 6103830450 | Practice locations: Hormigueros, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16208 | PR | MD | Personal Emergency Response Attendant |
| 016208 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592611200000",
"number": "1710950183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 159",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006830159",
"telephone_number": "787-892-6796",
"fax_number": "787-892-6796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. #2 INT. CARR. 345 KM. 164.4",
"address_2": "CASA BLANCA SHOPPING CENTER",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "00660",
"telephone_number": "787-849-0099",
"fax_number": "787-849-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ MORALES",
"first_name": "LUZ",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2020-06-20",
"certification_date": "2020-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "PR",
"license": "16208",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "016208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hormigueros, PR
- Jesse Lee Hernandez Rodriguez, MD
- Hogar San Jose
- Hospital de la Concepcion Inc
- Abel Irizarry-Resto, RPH
- Jeannette S. Troche (Laboratorio Clinico La Monserrate)
- Jose I. Suarez Ramos (Suarez Ambulance Service)
- Lidia Jusino
- Lab Clinico Hormigueros
- Laboratorio Clinica Dr. Rovira
- Laboratorio Clinico Constancia Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.