Active NPI
Ricardo Javier Jimenez-Bosch, DMD
- Oral and Maxillofacial Surgery (Dentist)
- San Juan, PR
National Provider Identifier
1891998621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2660
- Practice address
- Doral Financial Plaza 1451 Roosevelt Avenue
Suite 800
San Juan, PR 00920 - Phone
- (787) 210-0555
- NPI assigned
- Jun 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2660 | PR | Primary |
Addresses
Primary practice location
Doral Financial Plaza 1451 Roosevelt Avenue
Suite 800
San Juan, PR 00920
Mailing address
Doral Financial Plaza 1451 Roosevelt Avenue
Suite 800
San Juan, PR 00920
Phone (787) 210-0555
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica de Cirugia Oral Y Maxilofacial de Caparra CSP | Current | Accepting new patients | |
| Clinica de Cirugia Oral Y Maxilofacial de Caparra Corp | Past | Accepting new patients |
Locations
33 Calle Resolucion
Ste 800
San Juan, PR 00920
Phone (787) 603-5170
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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- San Juan, PR
- NPI 1093954125
-
- Oral and Maxillofacial Surgery Clinic/Center
- San Juan, PR
- NPI 1306044748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891998621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DORAL FINANCIAL PLAZA 1451 ROOSEVELT AVENUE",
"address_2": "SUITE 800",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920",
"telephone_number": "787-210-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DORAL FINANCIAL PLAZA 1451 ROOSEVELT AVENUE",
"address_2": "SUITE 800",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920",
"telephone_number": "787-210-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ-BOSCH",
"first_name": "RICARDO",
"middle_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PR",
"license": "2660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Ricardo Enrique Jimenez Ramos, PHARMD
- Ricardo E Jimenez Reyes, PHD
- Elizabeth Jimenez Rolon
- Ashley Marie Jimenez Valentin
- Maria Fernanda Jimenez Vega
- Marie Celida Jimenez-Colon, R.PH.
- Lissette Jimenez-Davila, M.D.
- Anabel Jimenez-Figueroa, MD
- Jimenez-Frias Infectious Diseases LLC
- Taina Jimenez-Lopez, M.S., CCC-SLP
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.