Dr. Jelisse Matos Renta, PSYD
Psychologist, Clinical in Ponce, Puerto Rico
1720739899- Practice location
- Calle Mayor, Ponce, PR 00730
- Phone
- 787-905-5216
- Fax
- —
- Last updated
- September 29, 2026
Jelisse Matos Renta is a Psychologist, Clinical based in Ponce, PR. Jelisse Matos Renta practices in Ponce, PR and has the professional credentials of PSYD. The NPI Number for Jelisse Matos Renta is 1720739899 and holds a License No. 6671 (PR). The current practice location address for Jelisse Matos Renta is Calle Mayor, Ponce, PR 00730 and can be reached out via phone at 787-905-5216.
Provider Profile Details
- NPI Number
- 1720739899
- Provider Name
- Jelisse Matos Renta
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Calle Mayor, Ponce, PR 00730
- Phone Number
- 787-905-5216
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Other Names
- Dr. Jelisse Matos Renta, MED (Professional Name)
- Provider Enumeration Date
- January 11, 2022
- Last Update Date
- September 29, 2026
- Certification Date
- August 20, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Calle Mayor
Ponce, PR 00730 - City
- Ponce
- State
- Puerto Rico
- Zip
- 00730
- Phone Number
- 787-905-5216
Provider Business Mailing Address Details
- Address
- 202 Calle Principe
Coto Laurel, PR 00780-3211 - City
- Coto Laurel
- State
- PR
- Zip
- 00780-3211
- Phone Number
- 787-905-5216
License Information
- License Number (1)
- 6671
- License State (1)
- PR
- Taxonomy (1)
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- License Number (2)
- 6671
- License State (2)
- PR
- Taxonomy (2)
- Psychologist, School · 103TS0200X
- License Number (3)
- 6671
- License State (3)
- PR
- Taxonomy (3)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Jelisse Matos Renta, PSYD?
The NPI number of Dr. Jelisse Matos Renta, PSYD is 1720739899. It was assigned on January 11, 2022 and is currently active in the NPPES registry.
What is the specialty of Dr. Jelisse Matos Renta, PSYD?
Dr. Jelisse Matos Renta, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 6671.
Where does Dr. Jelisse Matos Renta, PSYD practice?
The practice location is Calle Mayor, Ponce, PR 00730. The office can be reached at 787-905-5216 (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 1720739899 directly on the NPPES registry website.