Miguel Angel Jimenez Mendez, MASTER

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15800

Practice address

San Rafael #211, Bo. Salud, Mayaguez, P.R
Mayaguez, PR 00680

Phone

(787) 951-0230

NPI assigned

Jun 17, 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

Other identifiers 1

Other names 1

• Miguel A Jimenez Mendez Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1669103073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN RAFAEL #211, BO. SALUD, MAYAGUEZ, P.R.",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "939-641-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN RAFAEL #211, BO. SALUD, MAYAGUEZ, P.R",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-951-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ MENDEZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Mr.",
        "credential": "MASTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "15800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0812",
            "identifier": "0812",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": ".",
            "affiliation": "N",
            "endpointDescription": ".",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "San Rafael #211, bo. Salud, Mayaguez, P.R",
            "city": "Mayaguez",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MIGUEL",
            "last_name": "JIMENEZ MENDEZ",
            "middle_name": "A",
            "credential": "CLINICAL SOCIAL WORK",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeannette S. Troche
• Jephte Rodriguez Martinez MD P.S.D.
• Jesus Romero Perez
• JF Medical Support Corp
• JGM Psychiatry Services
• Coral Kaoma Jimenez Rovira, MD
• Edwin Gabriel Jimenez Sanchez, PHARMD
• Milagros L Jimenez Vega, BA
• Juan Carlos Jimenez-Cruz Sr., M.D., F.A.C.O.G.
• Kristel L Jimenez-Santiago, PSY.D.

• Clinical Social Worker in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.