Active NPI
Yahaira Jimenez
- Clinical Social Worker
- Ponce, PR
National Provider Identifier
1174232763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 25977
- Practice address
- Ext. Santa Teresita II 4433
Calle Santa Luisa
Ponce, PR 00730 - Phone
- (787) 207-6732
- NPI assigned
- Nov 22, 2022
- Last updated
- Nov 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 25977 | PR | Primary |
Addresses
Primary practice location
Ext. Santa Teresita II 4433
Calle Santa Luisa
Ponce, PR 00730
Mailing address
Ext. Santa Teresita II 4433
Calle Santa Luisa
Ponce, PR 00730
Phone (787) 207-6732
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25977 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1174232763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EXT. SANTA TERESITA II 4433",
"address_2": "CALLE SANTA LUISA",
"city": "PONCE",
"state": "PR",
"postal_code": "00730",
"telephone_number": "787-207-6732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EXT. SANTA TERESITA II 4433",
"address_2": "CALLE SANTA LUISA",
"city": "PONCE",
"state": "PR",
"postal_code": "00730",
"telephone_number": "787-207-6732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "YAHAIRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-22",
"last_updated": "2022-11-22",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "25977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.