Individual provider Active NPI

Omar Javier Perez Jimenez, M.D.

  • Gastroenterology Physician
  • Mayaguez, PR
National Provider Identifier
1891795381
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
13234 Issued in PR
Practice address
351 Ave Hostos
Suite 202
Mayaguez, PR 00680-1502
Phone
(787) 805-5610
Fax
(787) 805-5670
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 13234 PR Primary
Gastroenterology Physician 207RG0100X ME100895 FL

Addresses

Primary practice location

351 Ave Hostos
Suite 202
Mayaguez, PR 00680-1502

Mailing address

351 Ave Hostos
Suite 202
Mayaguez, PR 00680-1502
Phone (787) 805-5610

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041229000515 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 8123086717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

351 Ave Hostos
Suite 202
Mayaguez, PR 00680-1503
Phone (787) 805-5610

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME100895FLMDGastroenterology Physician
13234PRMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Omar J Perez Jimenez Gastroenterologo CSP CurrentSince Dec 21, 2009 Accepting new patients
Dr. Jansen Colberg Oftalmologo CSP PastSince Dec 21, 2009 Accepting new patients

Locations

351 Ave Hostos
Ste 202
Mayaguez, PR 00680
Phone (787) 805-5610

5 Calle Hostos
San Sebastian, PR 00685
Phone (787) 238-2370

Interoperability endpoints

  • Direct secure messaging: ojimenez@1421.securemail.prognocis.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1891795381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS",
            "address_2": "SUITE 202",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801502",
            "telephone_number": "787-805-5610",
            "fax_number": "787-805-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS",
            "address_2": "SUITE 202",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801502",
            "telephone_number": "787-805-5610",
            "fax_number": "787-805-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ JIMENEZ",
        "first_name": "OMAR",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "13234",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME100895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.