Individual provider Active NPI

Luz M Jimenez Morales, MD

  • General Practice Physician
  • Hormigueros, PR
National Provider Identifier
1710950183
Registry record updated Jun 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
016208 Issued in PR
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
16208PRMDPersonal Emergency Response Attendant
016208PRMDGeneral 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

Sources for this page

Verify at the official NPI Registry.