Jenny Ivelisse Matias Ramos, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16983 Issued in PR

Practice address

Collins Street #4
Ba. Santa Clara
Jayuya, PR 00664

Phone

(787) 241-9343

Fax

(787) 828-4765

NPI assigned

Dec 27, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Municipality of Catano

  • General Acute Care Hospital
  • Catano, PR
  • NPI 1134863889
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1043494909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 897",
            "city": "JAYUYA",
            "state": "PR",
            "postal_code": "006640897",
            "telephone_number": "787-241-9343",
            "fax_number": "787-828-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLLINS STREET #4",
            "address_2": "BA. SANTA CLARA",
            "city": "JAYUYA",
            "state": "PR",
            "postal_code": "00664",
            "telephone_number": "787-241-9343",
            "fax_number": "787-828-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIAS RAMOS",
        "first_name": "JENNY",
        "middle_name": "IVELISSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Martes Villalobos
• Jose Juan Martes
• Glorimar Martinez Ortiz, M.D.
• Migdalia Martinez
• Suli V Massini, DMD
• Juan Gabriel Matos Concepcion, MD
• Carlos Adrian Mejias Cruz, MD
• Jose Miguel Miranda, MD
• Naydamar Montesinos - Ortiz, LND
• Ilka S Montijo-Natal

• General Practice Physician in Jayuya, PR
• Providers in Jayuya, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.