JONATHAN DOMENECH
NPI 1912725888
General Practice in Humacao, PR
About Jonathan Domenech NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN DOMENECH (NPI 1912725888) is an individual general practice provider in Humacao, Puerto Rico, licensed in Puerto Rico (24138) and active in the NPI registry since September 2024. 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)
Jonathan Domenech is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Domenech reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hato Rey, PR 00918
- Reassigned Medicare billing, Puerto Rico enrollment
- 185 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 Jonathan Domenech's NPI number?
The NPI number for Jonathan Domenech is 1912725888. It was assigned to this individual provider in the NPPES registry on September 30, 2024.
Where is Jonathan Domenech located?
Jonathan Domenech practices at Bo Cotto Mabu, Carr 189 R 922 K0, Humacao, PR 00791. The listed phone number is (787) 228-0175.
What is Jonathan Domenech's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Jonathan Domenech enrolled in Medicare?
Yes. Jonathan Domenech is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jonathan Domenech's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Domenech reassigns Medicare benefits to Inspira Behavioral Care Corp. (Hato Rey, 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 Jonathan Domenech'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 Jonathan Domenech was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jonathan Domenech · NPI 1912725888
General Practice physician in Humacao, Puerto Rico. Individual provider, active in the CMS NPPES registry since September 30, 2024.
## Identity
- **NPI:** 1912725888 (Entity type: Individual)
- **Enumerated:** September 30, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 24138 (Puerto Rico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** BO COTTO MABU, CARR 189 R 922 K0, Humacao, PR 00791
- **Phone:** (787) 228-0175
## 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:** Inspira Behavioral Care Corp. (NPI 1023524733, Hato Rey, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912725888) · Data from the CMS NPPES public registry.