Active NPI
Taishaned Jimenez
- Occupational Therapy Assistant
- San Sebastian, PR
National Provider Identifier
1336022763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1419
- Practice address
- 66 C. M.J. Cabrero
San Sebastian, PR 00685 - Phone
- (787) 995-0270
- NPI assigned
- Jul 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1419 | PR | Primary |
Addresses
Primary practice location
66 C. M.J. Cabrero
San Sebastian, PR 00685
Mailing address
HC 5 Box 91475 Sector Barranca
Arecibo, PR 00612
Phone (787) 238-5290
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 |
|---|---|---|---|
| 1419 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1336022763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 5 BOX 91475 SECTOR BARRANCA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-238-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 C. M.J. CABRERO",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "00685",
"telephone_number": "787-995-0270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "TAISHANED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-31",
"last_updated": "2025-07-31",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PR",
"license": "1419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.