Centro Medicina Integral Dr. Jimenez CSP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12345 Issued in PR

Legal business name

CENTRO MEDICINA INTEGRAL DR. JIMENEZ CSP

Practice address

J24 Calle Elliot Velez
Manati, PR 00674-4697

Phone

(787) 854-5828

NPI assigned

Oct 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Thomas JimenezNPI 1639287121

Title

Presidente

Phone

(787) 604-3845

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Jimenez, M.D.

  • Adult Medicine Physician
  • Manati, PR
  • NPI 1639287121

  Family Medicine, PR

  Medicare reassignment NPD Authorized official
• Angel Alvarez

  • General Practice Physician
  • Manati, PR
  • NPI 1801428164

  PR

  Medicare reassignment NPD

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1902201742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J24 CALLE ELLIOT VELEZ",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744697",
            "telephone_number": "787-854-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J24 CALLE ELLIOT VELEZ",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744697",
            "telephone_number": "787-854-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICINA INTEGRAL DR. JIMENEZ CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-604-3845",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro de Servicios de Apoyo E Intervencion Temprana Creciendo Juntos
• Centro de Servicios Geriatricos Nazario
• Centro Imagenes de Manati PSC
• Centro Imagenes Manati Yvf PSC
• Centro Integral Medicina Avanzada (Cima) CSP
• Centro Ortodontico del Norte
• Centro Para El Cuidado de Piel Heridas Ulceras Y Pie Diabetico
• Centro Psicologico del Atenas
• Centro Psicologico Y Educativo Renacer, Inc
• Centro Pulmonar de Manati

• All providers in Manati, PR
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.