Active NPI
Lissette Jimenez-Davila, M.D.
- Sleep Medicine (Psychiatry & Neurology) Physician
- San Juan, PR
National Provider Identifier
1477502441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- License
- 10527
- Practice address
- 400 Domenech Ave.
Suite 407
San Juan, PR 00918-3704 - Phone
- (787) 754-3300
- Fax
- (787) 754-4966
- NPI assigned
- May 8, 2006
- Last updated
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 10527 | PR | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 10527 | PR | Primary |
Addresses
Primary practice location
400 Domenech Ave.
Suite 407
San Juan, PR 00918-3704
Mailing address
400 Domenech Ave.
Suite 407
San Juan, PR 00918-3704
Phone (787) 754-3300
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somnicare Sleep Institute, PSC | Current | Accepting new patients | |
| Somnicare Sleep Institute | Past | Accepting new patients |
Locations
400 Calle Manuel Domenech
Ste 407
San Juan, PR 00918
Phone (787) 754-0330
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sleep Disorder Diagnostic Clinic/Center
- San Juan, PR
- NPI 1326306226
-
- Sleep Disorder Diagnostic Clinic/Center
- San Juan, PR
- NPI 1033483441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1477502441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 DOMENECH AVE.",
"address_2": "SUITE 407",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183704",
"telephone_number": "787-754-3300",
"fax_number": "787-754-4966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 DOMENECH AVE.",
"address_2": "SUITE 407",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183704",
"telephone_number": "787-754-3300",
"fax_number": "787-754-4966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ-DAVILA",
"first_name": "LISSETTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "10527",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "PR",
"license": "10527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Elizabeth Jimenez Rolon
- Ashley Marie Jimenez Valentin
- Maria Fernanda Jimenez Vega
- Ricardo Javier Jimenez-Bosch, DMD
- Marie Celida Jimenez-Colon, R.PH.
- Anabel Jimenez-Figueroa, MD
- Jimenez-Frias Infectious Diseases LLC
- Taina Jimenez-Lopez, M.S., CCC-SLP
- Karla Mariel Jimenez-Rodriguez, PHARMD
- Jose Francisco Jimenez-Rosado, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.