Individual provider Active NPI

Melissa Marie Owen Jimenez, MD

  • Pediatrics Physician
  • Arecibo, PR
National Provider Identifier
1962131565
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23872 Issued in PR
Practice address
Urb Villa Los Santos, V1 Calle 16
Arecibo, PR 00612-3112
Phone
(787) 879-1585
Fax
(787) 815-2929
NPI assigned
Jun 8, 2022
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 23872 PR Primary

Addresses

Primary practice location

Urb Villa Los Santos, V1 Calle 16
Arecibo, PR 00612-3112

Mailing address

Urb Quintas del Rio
Calle Senda de la Posada N10
Bayamon, PR 00961
Phone (787) 671-2505

Other practice location 1

Carr. Num. 2, Km. 11.6
Bayamon, PR 00959
Phone (787) 474-8282 ext. 45883

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23872PRMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1962131565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB QUINTAS DEL RIO",
            "address_2": "CALLE SENDA DE LA POSADA N10",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-671-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VILLA LOS SANTOS, V1 CALLE 16",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123112",
            "telephone_number": "787-879-1585",
            "fax_number": "787-815-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr. Num. 2, Km. 11.6",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00959",
            "country_code": "US",
            "telephone_number": "787-474-8282 x45883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN JIMENEZ",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "23872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.