Ivelisse Jimenez

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

6440 Issued in PR

Practice address

Res. Jose de Diego
E2 Apt17
Aguadilla, PR 00603

Phone

(787) 426-5500

NPI assigned

Mar 6, 2012

Last updated

Mar 6, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1184998320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4393",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054393",
            "telephone_number": "787-426-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RES. JOSE DE DIEGO",
            "address_2": "E2 APT17",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-426-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "IVELISSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "6440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Marie Javier Gonzalez, DPT
• Jeannette Alers Mendez
• Mariangelly Jimenez Rivera, MD, PA
• Ivonmary Jimenez Sanabria, MD
• Monica Alexandra Jimenez Vives, CPHT
• Juan Ramon Jimenez, M.D.
• Nilsa I Jimenez, RPH
• Marisol Jirau Gonzalez, RPH
• JJ Hearing LLC
• Jopeca PSC

• Pharmacy Technician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Pharmacy Technician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.