Individual provider Active NPI

Marietta Loubriel Jimenez, MD

  • General Practice Physician
  • Rio Piedras, PR
National Provider Identifier
1891718482
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4845 Issued in PR
Practice address
721 Calle Anon
Highland Park
Rio Piedras, PR 00924-5141
Phone
(787) 751-7703
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4845 PR Primary

Addresses

Primary practice location

721 Calle Anon
Highland Park
Rio Piedras, PR 00924-5141

Mailing address

721 Calle Anon
Highland Park
Rio Piedras, PR 00924-5141
Phone (787) 751-7703

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1891718482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 CALLE ANON",
            "address_2": "HIGHLAND PARK",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009245141",
            "telephone_number": "787-751-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CALLE ANON",
            "address_2": "HIGHLAND PARK",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009245141",
            "telephone_number": "787-751-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUBRIEL JIMENEZ",
        "first_name": "MARIETTA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "4845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.