Individual provider Active NPI

Emanuel Jimenez del Toro, PH.D.

  • Counseling Psychologist
  • Carolina, PR
National Provider Identifier
1063045052
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6372 Issued in PR
Practice address
27-4 Ave Roberto Clemente
Carolina, PR 00985-5420
Phone
(787) 246-4680
NPI assigned
Feb 18, 2020
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6372 PR Primary

Addresses

Primary practice location

27-4 Ave Roberto Clemente
Carolina, PR 00985-5420

Mailing address

7 Calle Zuania
Guaynabo, PR 00966-1686
Phone (787) 246-4680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6372PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
C O P R Medical Group LLC CurrentSince Aug 27, 2023 Accepting new patients

Locations

400 Ave Domenech
Ste 606
San Juan, PR 00918
Phone (787) 246-4680

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1063045052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CALLE ZUANIA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009661686",
            "telephone_number": "787-246-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27-4 AVE ROBERTO CLEMENTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855420",
            "telephone_number": "787-246-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ DEL TORO",
        "first_name": "EMANUEL",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-18",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.