Individual provider Active NPI

Jezebel Rentas de Jesus

  • Ambulatory Care Registered Nurse
  • Santa Isabel, PR
National Provider Identifier
1770970162
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
36383 Issued in PR
Practice address
32 Calle Munoz Rivera
Santa Isabel, PR 00757-0000
Phone
(787) 839-4320
Fax
(787) 845-5841
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 36383 PR Primary

Addresses

Primary practice location

32 Calle Munoz Rivera
Santa Isabel, PR 00757-0000

Mailing address

HC 1 Box 14208
Coamo, PR 00769-9700

Other identifiers 1

IdentifierTypeStateIssuer
36383OtherPRRN LICENSE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36383PRMDAmbulatory Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1770970162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 14208",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007699700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CALLE MUNOZ RIVERA",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007570000",
            "telephone_number": "787-839-4320",
            "fax_number": "787-845-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTAS DE JESUS",
        "first_name": "JEZEBEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "PR",
            "license": "36383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "36383",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.