ROBERTO JIMENEZ
NPI 1760936504
General Practice in Moca, PR
About Roberto Jimenez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERTO JIMENEZ (NPI 1760936504) is an individual general practice provider in Moca, Puerto Rico, licensed in Puerto Rico (19458) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roberto Jimenez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Roberto Jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Aguada, PR 00602
- Reassigned Medicare billing, Puerto Rico enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Roberto Jimenez's NPI number?
The NPI number for Roberto Jimenez is 1760936504. It was assigned to this individual provider in the NPPES registry on August 10, 2016.
Where is Roberto Jimenez located?
Roberto Jimenez practices at Hc 1 Box 6933, Moca, PR 00676. The listed phone number is (787) 247-0866.
What is Roberto Jimenez's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Roberto Jimenez enrolled in Medicare?
Yes. Roberto Jimenez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Roberto Jimenez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Jimenez reassigns Medicare benefits to Aguada Medical Center, Inc. (Aguada, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roberto Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Roberto Jimenez was last updated on August 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Roberto Jimenez · NPI 1760936504
General Practice physician in Moca, Puerto Rico. Individual provider, active in the CMS NPPES registry since August 10, 2016.
## Identity
- **NPI:** 1760936504 (Entity type: Individual)
- **Enumerated:** August 10, 2016
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 19458 (Puerto Rico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** HC 1 BOX 6933, Moca, PR 00676-9552
- **Phone:** (787) 247-0866
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Aguada Medical Center, Inc. (NPI 1023300803, Aguada, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1760936504) · Data from the CMS NPPES public registry.