Jennifer L Jimenez Ruiz

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10047 Issued in PR

Practice address

Carr. 417 KM. 0.5 Ave. Nativo Alers
Desvio Sur Bo. Asomante
Aguada, PR 00602

Phone

(939) 319-5966

NPI assigned

Dec 3, 2018

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1770053753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 57 BOX 9417",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029828",
            "telephone_number": "939-319-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 417 KM. 0.5 AVE. NATIVO ALERS",
            "address_2": "DESVIO SUR BO. ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "939-319-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ RUIZ",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Instituto de Ojos Y Cirugia Plastica
• Instituto de Ojos Y Cirugia Plastica
• Internal Medicine Individual Practice
• Irmaril Perez Santoni
• Carisa Odemaris Jimenez Chaparro
• Lynoshka Shanice Jimenez Vega, PSYD
• Joshuas Ambulance
• Barbara Julia Lopez, MD
• Karynell Corporation
• Hazel M. Kelly Moreno

• Clinical Social Worker in Aguada, PR
• Providers in Aguada, 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 Jan 2, 2019; 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.