Roberto Jimenez

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19458 Issued in PR

Practice address

HC 1 Box 6933
Moca, PR 00676-9552

Phone

(787) 247-0866

NPI assigned

Aug 10, 2016

Last updated

Aug 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aguada Medical Center Inc.

  • Clinic/Center
  • Aguada, PR
  • NPI 1598057374
  Medicare reassignment NPD
• R J Medical Services LLC

  dba Oficina Dr. Roberto Jimenez

  • Health Service Clinic/Center
  • Aguada, PR
  • NPI 1861199754
  NPD Authorized official
• Aguada Medical Center, Inc.

  • Clinical Medical Laboratory
  • Aguada, PR
  • NPI 1023300803
  NPD
• Aguada Medical Center Care Club

  • Clinic/Center
  • Aguada, PR
  • NPI 1720490998
  NPD (past)

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1760936504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 6933",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769552",
            "telephone_number": "787-247-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 6933",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769552",
            "telephone_number": "787-247-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ROBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Health Care LLC
• Instituto Gineco-Obstetrico del Noroeste
• Olga L Irizarry
• Jensen J Feliciano-Muniz (Feliciano Medical Transport)
• Alejandro Jimenez Ramirez, O.D.
• Yanitza Jimenez
• Jose Daniel Mercado Galarza (Puerto Rico Emergency Services)
• Joy Group Corporation
• Juan a Sierra Vega (Brother Ambulance Service)
• Rene David Juan, D.D.M.

• General Practice Physician in Moca, PR
• Providers in Moca, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.

Verify at the official NPI Registry.