Active NPI
Ricardo E Jimenez Reyes, PHD
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1447413257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2258
- Practice address
- Cond Miramar Embassy
902 Ponce de Leon Ave. Apt. 606
San Juan, PR 00907-3367 - Phone
- (787) 723-3013
- NPI assigned
- Jul 2, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2258 | PR | Primary |
Addresses
Primary practice location
Cond Miramar Embassy
902 Ponce de Leon Ave. Apt. 606
San Juan, PR 00907-3367
Mailing address
Cond Miramar Embassy 902 Ponce de Leon Avenue
Apt 606
San Juan, PR 00907
Phone (787) 723-3013
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2258 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1447413257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND MIRAMAR EMBASSY 902 PONCE DE LEON AVENUE",
"address_2": "APT 606",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-723-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND MIRAMAR EMBASSY",
"address_2": "902 PONCE DE LEON AVE. APT. 606",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009073367",
"telephone_number": "787-723-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ REYES",
"first_name": "RICARDO",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-02",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.