NPIMap

Organization Active NPI

Rafael J Jimenez Barreras Dentista CSP

  • Dentist
  • Las Piedras, PR
National Provider Identifier
1841390085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
874 Issued in PR
Legal business name
RAFAEL J JIMENEZ BARRERAS DENTISTA CSP
Practice address
Calle Jose C Barbosa
#56
Las Piedras, PR 00771
Phone
(787) 733-2431
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rafael J Jimenez, CSP
Title
Owner
Phone
(787) 733-2431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 874 PR Primary

Addresses

Primary practice location

Calle Jose C Barbosa
#56
Las Piedras, PR 00771

Mailing address

PO Box 1793
Las Piedras, PR 00771

National Provider Directory

National Provider Directory

Locations

56 Calle Barbosa
Las Piedras, PR 00771
Phone (787) 676-8879

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841390085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1793",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JOSE C BARBOSA",
            "address_2": "#56",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-733-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL J JIMENEZ BARRERAS DENTISTA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-733-2431",
        "authorized_official_credential": "CSP"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.