Individual provider Active NPI

Glorimell Jimenez Santiago, MAESTRIA

  • Counseling Psychologist
  • Florida, PR
National Provider Identifier
1942044151
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
007965 Issued in PR
Practice address
HC 3 Box 3673
Florida, PR 00650-9697
Phone
(939) 241-6991
NPI assigned
Jun 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 4036 PR
Counseling Psychologist 103TC1900X 007965 PR Primary

Addresses

Primary practice location

HC 3 Box 3673
Florida, PR 00650-9697

Mailing address

HC 3 Box 3673
Florida, PR 00650-9697
Phone (939) 241-6991

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
4036PRMDPsychologist
007965PRMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1942044151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 3673",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006509697",
            "telephone_number": "939-241-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 3673",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006509697",
            "telephone_number": "939-241-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ SANTIAGO",
        "first_name": "GLORIMELL",
        "credential": "MAESTRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "4036",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "007965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.