Jeanette Jimenez Colon, PH. D

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2757 Issued in PR

Practice address

1250 Ave Ponce de Leon Ste 705
San Juan, PR 00907-3910

Phone

(787) 640-8599

NPI assigned

Oct 18, 2010

Last updated

Feb 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1750691390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16497",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009086497",
            "telephone_number": "787-640-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 AVE PONCE DE LEON STE 705",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073910",
            "telephone_number": "787-640-8599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Guarionex #9",
            "address_2": "Local 2",
            "address_purpose": "LOCATION",
            "city": "Hato Rey",
            "state": "PR",
            "postal_code": "00917",
            "country_code": "US",
            "telephone_number": "787-764-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1413 Ave Ponce De Leon Ste 602",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009074023",
            "country_code": "US",
            "telephone_number": "787-640-8599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ COLON",
        "first_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "PH. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2757",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "2757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JH Medic Billing Inc
• Gabriel Antonio Jimenez Berrios
• Miguel Antonio Jimenez Berrios
• Luis E Jimenez Berroa, MD
• Tomas D Jimenez Chafey, M.D.
• Zoe M Jimenez Corretjer
• Jocelyn Marie Jimenez Cruz
• Hiram Judiel Jimenez Davila, MD
• Anyelina Jimenez Frias, MD
• Elaine Jimenez Gonzalez, M.D.

• Counseling Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.