Yenifer Yesenia Jimenez Ortega, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001792-P.A. Issued in PR

Practice address

Maramar Plaza Ste 1060
101 Ave San Patricio
Guaynabo, PR 00968-2645

Phone

(787) 474-0400

Fax

(787) 474-0408

NPI assigned

Jul 18, 2023

Sex

Female

Sole proprietor

No

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

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1356020143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LEVITTWON LAKES",
            "address_2": "AA17 BLVD DAVID CORDOVA TORRECH FL2",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494555",
            "telephone_number": "939-249-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARAMAR PLAZA STE 1060",
            "address_2": "101 AVE SAN PATRICIO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682645",
            "telephone_number": "787-474-0400",
            "fax_number": "787-474-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ ORTEGA",
        "first_name": "YENIFER",
        "middle_name": "YESENIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "001792-P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jev Professional Healthcare PSC
• Francisco Arnaldo Jimenez Camacho, PHARMD
• Antonio Jimenez Chinea, MD
• Virgilio Jimenez Marte, 0719P
• Andrea M Jimenez Negron, DC
• Luis Jimenez Ortiz, 1320P
• Jose Jimenez Rosado, 0227B
• Humberto Jimenez Vale, 1859P
• Ricardo Juan Jimenez-Lee, M.D.
• Carmen Jimenez, 1638P

• Physician Assistant in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.