Jose Luis Jimenez, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

6793 Issued in PR

Practice address

Avenida Luis Munoz Marin Num 50
Quadrangle Medical Center Suite 203
Caguas, PR 00726-0340

Phone

(787) 746-6460

Fax

(787) 746-6467

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

University of Puerto Rico School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinica Oftalmica Quadrangle PSC

  • Ophthalmology Physician
  • Caguas, PR
  • NPI 1023061694
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1831142082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260340",
            "telephone_number": "787-746-6460",
            "fax_number": "787-746-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA LUIS MUNOZ MARIN NUM 50",
            "address_2": "QUADRANGLE MEDICAL CENTER SUITE 203",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260340",
            "telephone_number": "787-746-6460",
            "fax_number": "787-746-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "6793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "85155",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dariselle Jimenez-Ortiz, PHD
• Claudia Jimenez, M.D.
• Darelsa Jimenez, PSY.D
• Edgar Jimenez
• Iris Jimenez
• Marie Emma Jimenez, SWC
• Jimenez, Saldana, Rodriguez, Dentistas CSP (centro dental familiar)
• JL Medical LLC
• JLM Medical Services LLC
• JLMR Internal Medicine Sercices LLC

• Ophthalmology Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.