Individual provider

Jose De Leon-jimenez, M.D.

Otolaryngology Physician Medicare enrolled

Jose De Leon-jimenez, M.D. is an Otolaryngology Physician in Carolina, PR, registered under NPI 1376506071. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is PLAZA CAROLINA MALL TERCER NIVEL SUITE 11, Carolina, PR 00983. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

PLAZA CAROLINA MALL TERCER NIVEL SUITE 11, Carolina, PR 00983 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
12876 PR Otolaryngology Physician primary

This provider holds licence 12876 issued in PR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Otolaryngology
PAC ID
4183697675
Enrollment ID
I20080811000488

Medicare enrolment is recorded as approved under the provider type Practitioner - Otolaryngology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Otolaryngology covers

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. NUCC Health Care Provider Taxonomy, code 207Y00000X
Allopathic & Osteopathic Physicians Otolaryngology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1376506071 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 11, 2006
Last updatedApr 14, 2020
StatusActive
Sole proprietorYes
GenderMale
CredentialM.D.
Practice address PLAZA CAROLINA MALL
TERCER NIVEL SUITE 11
Carolina, PR 00983
(787) 776-1511
Fax (787) 776-1531
Mailing address 1357 AVE ASHFORD PMB 428
San Juan, PR 00907
The last update on file is Apr 14, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1376506071 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 7 6 5 0 6 0 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 5 6 1 0 3 0 5

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1376506071?
NPI 1376506071 is the National Provider Identifier assigned to Jose De Leon-jimenez, M.D. in Carolina, PR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Otolaryngology Physician cover?
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or…
How do I contact Jose De Leon-jimenez, M.D.?
The phone number on file with NPPES is (787) 776-1511, last updated Apr 14, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jose De Leon-jimenez, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1376506071 a valid number?
Yes. 1376506071 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.