Alexandra Jimenez Quintana, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6801 Issued in PR

Practice address

230 Calle Ruiz Belvis
San Sebastian, PR 00685-2333

Phone

(787) 454-7794

NPI assigned

Mar 29, 2021

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Northwest Psychological Clinic

  • Clinical Psychologist
  • San Sebastian, PR
  • NPI 1386502037
  NPD (past)

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1114504750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 6 BOX 12693",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851529",
            "telephone_number": "939-299-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CALLE RUIZ BELVIS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852333",
            "telephone_number": "787-454-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ QUINTANA",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannette Serrano Torres
• Yeisabeth Marie Jimenez Almeyda
• Angelymar Jimenez Cardona
• Carmen Jimenez Jimenez, PHARMACY TECHNICIAN
• Talia Mairis Jimenez Perez
• Manuel Jimenez-Espinosa, M.D.
• Jose Luis Jimenez II, E.M.T.
• Taishaned Jimenez
• Zahira Zoe Jimenez, MD
• Zenaida Jimenez, PHL

• Clinical Psychologist in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.