Carlos Javier Jimenez, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2312 Issued in PR

Practice address

252 Northcoast VLG
Vega Alta, PR 00692-8714

Phone

(787) 247-7635

NPI assigned

Jan 22, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1831048917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 NORTHCOAST VLG",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006928714",
            "telephone_number": "787-247-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 NORTHCOAST VLG",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006928714",
            "telephone_number": "787-247-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "CARLOS",
        "middle_name": "JAVIER",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "2312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospicio Divina Misericordia Corp.
• Hospital Services on Call Program Inc
• Roberto Jose Hurtado Fiel, M.D.
• Integrated Mental Health Group
• J & F Optical Service Inc
• Frances Ann Jimenez, M.D.
• Yaritza Michelle Jimenez
• Judimel Medical Corp
• Juventud Rehab CSP.
• Laboratorio Clinico Alondra

• Medical Physician Assistant in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.