Active NPI
Carol M Jimenez Bague
- Audiologist
- Bayamon, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0573
- Practice address
- 100 Paseo San Pablo
Edif Arturo Cadilla Ofic 205
Bayamon, PR 00960 - Phone
- (787) 798-5000
- Fax
- (787) 292-5050
- NPI assigned
- Dec 1, 2006
- Last updated
- Jan 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0573 | PR | Primary |
Addresses
Primary practice location
100 Paseo San Pablo
Edif Arturo Cadilla Ofic 205
Bayamon, PR 00960
Mailing address
PO Box 193069
San Juan, PR 00919-3069
Phone (787) 761-0036
Other practice location 1
Manati Medical Plaza Carr#2 KM 48.3 #1 Jose Candelas St
Suite 203
Manati, PR 00674
Phone (787) 884-4629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Calle Garcia de la Naceda a
6 Villas de Rio Grande
Rio Grande, PR 00745
Phone (787) 809-4322
Sector Urb Rio Grande Hill
Carr Num 3
Rio Grande, PR 00745
Phone (787) 809-4233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0573 | PR | MD | Audiologist |
| 573 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Hearing Center Inc | Single Specialty | Current | Accepting new patients |
Locations
100 Paseo San Pablo
Ste 205
Bayamon, PR 00961
Phone (787) 786-5151
Interoperability endpoints
- cjimenezbague@2144.securemail.prognocis.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1851469688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 193069",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009193069",
"telephone_number": "787-761-0036",
"fax_number": "787-292-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PASEO SAN PABLO",
"address_2": "EDIF ARTURO CADILLA OFIC 205",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "787-798-5000",
"fax_number": "787-292-5050"
}
],
"practiceLocations": [
{
"address_1": "Manati Medical Plaza Carr#2 KM 48.3 #1 Jose Candelas St",
"address_2": "Suite 203",
"address_purpose": "LOCATION",
"city": "Manati",
"state": "PR",
"postal_code": "00674",
"country_code": "US",
"telephone_number": "787-884-4629",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ BAGUE",
"first_name": "CAROL",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PR",
"license": "0573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- JD Orthotics & Prosthetics Services Corp.
- JD Prostethetics & Orthotics Services Corp.
- Jeremiah Jeffers, M.D.
- JF Medical & Supplies Services Corp
- JGB Distributors, Inc.
- Jose F Jimenez Casso, MD
- Baltasar Jimenez Conde, MD
- Cassandra Liz Jimenez Fernandez, DC, DACNB
- Laura C Jimenez Maldonado, MSPHL
- Emily M Jimenez Ramos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.