Casandra Medina Jimenez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17253 Issued in PR

Practice address

27 Villa Nevarez Cond Los Olmos
Apart 7a
San Juan, PR 00921

Phone

(787) 604-0236

NPI assigned

Aug 8, 2008

Sex

Female

Sole proprietor

No

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

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.

• C&M Medical Services, P.S.C

  • General Practice Physician
  • San Juan, PR
  • NPI 1669615522
  NPD (past)

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1861648990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781004",
            "telephone_number": "787-604-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 VILLA NEVAREZ COND LOS OLMOS",
            "address_2": "APART 7A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-604-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA JIMENEZ",
        "first_name": "CASANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Medina Castro, LICENCIADA
• Nicolle Medina Cintron
• Fabiola R Medina Gonzalez, PHARMD
• Maria Esther Medina Gonzalez
• Yailis M Medina Gonzalez, MD
• Sahira M Medina Lopez, MSW
• Sofia Medina Oliveras, M.D.
• Gabriel Sebastian Medina Ortiz, STUDENT
• Eduardo J Medina Parrilla, MD
• Mariola B Medina Rodriguez

• General Practice Physician in San Juan, PR
• Providers in San Juan, 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 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.