Christian Jesus Jimenez Rodriguez

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7368 Issued in PR

Practice address

Carretera 788, KM 0.1, Tomas de Castro 1
Caguas, PR 00725

Phone

(787) 597-1527

NPI assigned

Aug 11, 2022

Sex

Male

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1558099143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE EMAJAGUA 519, HACIENDAS BORINQUEN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 788, KM 0.1, TOMAS DE CASTRO 1",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-597-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ RODRIGUEZ",
        "first_name": "CHRISTIAN",
        "middle_name": "JESUS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JFMD LLC
• Fernando Jimenez Castro
• Christina Mercedes Jimenez Gonzalez, MA
• Luis A Jimenez Reyes, MD
• Mayra Jimenez Rivera, M.D.
• Julio E Jimenez Soto, M.D.
• Jose V Jimenez Tirado, CLSW
• Aitsa Jimenez Velez, MD
• Dariselle Jimenez-Ortiz, PHD
• Claudia Jimenez, M.D.

• Clinical Psychologist in Caguas, PR
• Providers in Caguas, 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 Aug 11, 2022; 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.