Kristel L Jimenez-Santiago, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4283 Issued in PR

Practice address

175 Ave Algarrobo
VA Caribbean Healthcare System - Mopc
Mayaguez, PR 00682-6331

Phone

(787) 641-7582

Fax

(787) 265-8826

NPI assigned

May 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1316265135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA CARIBBEAN HEALTHCARE SYSTEM",
            "address_2": "10 CASIA ST.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213201",
            "telephone_number": "787-641-7582",
            "fax_number": "787-641-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 AVE ALGARROBO",
            "address_2": "VA CARIBBEAN HEALTHCARE SYSTEM - MOPC",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826331",
            "telephone_number": "787-641-7582",
            "fax_number": "787-265-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ-SANTIAGO",
        "first_name": "KRISTEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "4283",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Angel Jimenez Mendez, MASTER
• Coral Kaoma Jimenez Rovira, MD
• Edwin Gabriel Jimenez Sanchez, PHARMD
• Milagros L Jimenez Vega, BA
• Juan Carlos Jimenez-Cruz Sr., M.D., F.A.C.O.G.
• Gemarilys Jimenez
• Jacqueline Jimenez, M.S
• JMG Surgical Services PSC
• JMMR Enterprise Inc
• Marla Esther Jordan, MD

• Clinical Psychologist in Mayaguez, PR
• Providers in Mayaguez, 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 13, 2017; 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.