Individual provider Active NPI

Ana Emilia Ortiz Jimenez, MEDICAL TECHNOLOGIST

  • Clinical Medical Laboratory
  • Aguadilla, PR
National Provider Identifier
1871500058
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
566 Issued in PR
Practice address
2054 Ave Pedro Albizu Campos
Suite # 2
Aguadilla, PR 00603-6009
Phone
(787) 891-4216
NPI assigned
Aug 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 566 PR Primary

Addresses

Primary practice location

2054 Ave Pedro Albizu Campos
Suite # 2
Aguadilla, PR 00603-6009

Mailing address

2054 Ave Pedro Albizu Campos
Suite # 2
Aguadilla, PR 00603-6009
Phone (787) 891-4216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
566PRMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871500058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 AVE PEDRO ALBIZU CAMPOS",
            "address_2": "SUITE # 2",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006036009",
            "telephone_number": "787-891-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 AVE PEDRO ALBIZU CAMPOS",
            "address_2": "SUITE # 2",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006036009",
            "telephone_number": "787-891-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ JIMENEZ",
        "first_name": "ANA",
        "middle_name": "EMILIA",
        "credential": "MEDICAL TECHNOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.