Active NPIIndividual providerSole proprietor

Dr. Ivelisse Pena Jimeno, MD

Family Medicine in San Juan, Puerto Rico

NPI Number1225174816
Practice location
346 Calle 32, Villa Nevarez, San Juan, PR 00927-5111
Fax
—
Last updated
July 9, 2007

Ivelisse Pena Jimeno is a Family Medicine based in San Juan, PR. Ivelisse Pena Jimeno practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Ivelisse Pena Jimeno is 1225174816 and holds a License No. 12440 (PR). The current practice location address for Ivelisse Pena Jimeno is 346 Calle 32, Villa Nevarez, San Juan, PR 00927-5111 and can be reached out via phone at 787-751-2653.

Provider Profile Details

NPI Number
1225174816
Provider Name
Ivelisse Pena Jimeno
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
346 Calle 32, Villa Nevarez, San Juan, PR 00927-5111
Phone Number
787-751-2653
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2007
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
346 Calle 32
Villa Nevarez
San Juan, PR 00927-5111
Zip
00927-5111
Phone Number
787-751-2653
San Juan, PR 00927Get directions →

Provider Business Mailing Address Details

Address
Po Box 51320
Toa Baja, PR 00950-1320
City
Toa Baja
State
PR
Zip
00950-1320
Phone Number
787-751-2653
Fax Number
787-753-4807

License Information

License Number
12440
License State
PR
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ivelisse Pena Jimeno, MD?

The NPI number of Dr. Ivelisse Pena Jimeno, MD is 1225174816. It was assigned on January 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Ivelisse Pena Jimeno, MD?

Dr. Ivelisse Pena Jimeno, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in PR under license number 12440.

Where does Dr. Ivelisse Pena Jimeno, MD practice?

The practice location is 346 Calle 32, Villa Nevarez, San Juan, PR 00927-5111. The office can be reached at 787-751-2653 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225174816 directly on the NPPES registry website.

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