Individual ProviderJose Luis JimenezEmergency Medical Technician, ParamedicEmergency Medical Service ProvidersPractice Address4 Calle Dr Pedro Cebollero, San Sebastian, PR 00685-2265(787) 280-0334PECOS EnrollmentBased on the most recent information from CMS, provider Jose Luis Jimenez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1578557674Provider TypeIndividualFull NameJimenez, Jose LuisTitleMr.CredentialE.M.T.GenderMaleEnumeration Date9/2/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address4 Calle Dr Pedro Cebollero, San Sebastian, PR 00685-2265Phone(787) 280-0334Fax(787) 280-0334Mailing LocationMailing AddressPO Box 270, San Sebastian, PR 00685-0270Phone(787) 280-0334Fax(787) 280-0334Provider TaxonomiesCodeDescriptionLicenseCode146L00000XPrimaryDescriptionEmergency Medical Technician, ParamedicEmergency Medical Service ProvidersLicenseAMB279Puerto Rico