Jose Raul Jimenez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22706 Issued in PR

Practice address

100 Calle Font Martelo W Ste 440
Humacao, PR 00791-3971

Phone

(787) 692-8203

NPI assigned

Apr 29, 2022

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

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Bienestar Healthcare Clinic LLC

  • General Practice Physician
  • Humacao, PR
  • NPI 1003664137
  Medicare reassignment NPD
• Hospital Menonita Caguas Inc

  dba Grupo Medico Menonita de Caguas

  • Specialist
  • Caguas, PR
  • NPI 1295327625
  Medicare reassignment NPD
• Hospital Menonita Caguas Inc

  • Rehabilitation Hospital Unit
  • Caguas, PR
  • NPI 1871164871
  NPD

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1861137341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "RIO BLANCO",
            "state": "PR",
            "postal_code": "007440459",
            "telephone_number": "787-692-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALLE FONT MARTELO W STE 440",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913971",
            "telephone_number": "787-692-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JOSE",
        "middle_name": "RAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayuya Medical Equipment Inc
• JCN Radiology Associates, Inc.
• JCN Radiology, PSC
• Jimenez-Huyke Medical Offices, M.D. , L.L.C.
• Carlos Enrique Jimenez-Huyke, M.D.
• Suzanne Marie Jimenez, RD, LND
• Jimergency Medical Transport Inc.
• JK Optical Inc.
• John C Kagan MD LLC
• Jose a. de Leon Y Asociados, Inc.

• General Practice Physician in Humacao, PR
• Providers in Humacao, 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 17, 2022; 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.