JOSE LUIS JIMENEZ
NPI 1487357281
Student in an Organized Health Care Education/Training Program in Odessa, TX

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 22, 2023PECOS Enrolled

701 W 5TH ST, ODESSA, TX 79763(432) 703-5238 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jose Luis Jimenez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE LUIS JIMENEZ (NPI 1487357281) is an individual student in an organized health care education/training program in Odessa, Texas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487357281

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOSE LUIS JIMENEZ

Location Address701 W 5TH STOdessa, TX 79763-4206

Mailing Address6451 S Reed Bunting DrTucson, AZ 85757-7944 · (623) 340-6263

Phone(432) 703-5238

Sole ProprietorNo

Enumeration DateMarch 22, 2023

NPPES CertifiedMarch 21, 2023

✔ NPI 1487357281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

701 W 5TH ST, Odessa, TX 79763

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Luis Jimenez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.