MR. RAUL EDGARDO JIMENEZ (NPI# 1083056865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083056865 |
| Entity Type | Individual |
| Full Name | MR. RAUL EDGARDO JIMENEZ |
| Other Name | RAUL EDGARDO JIMENEZ CARRION |
| Credential | PSY. D. |
| Practice Address |
Hc 1 Box 3740 Lares PR 00669-9610 |
| Practice Telephone | 7872013971 |
| Mailing Telephone | 7872013971 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5813 | PR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862956 | Raul Jimenez Jr. | Behavior Technician | 10680 Treena St Ste 170, San Diego, CA 92131-2443 | 2019-07-11 |
| 1649267923 | Raul A. Jimenez | Internal Medicine | 14100 Fivay Rd, Ste 310, Hudson, FL 34667-7180 | 2005-10-03 |
| 1588659395 | Raul Jimenez | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2005-09-19 |
| Street Address |
HC 1 BOX 3740 |
| City | LARES |
| State | PR |
| Zip Code | 00669-9610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390252 | Stephanie Quiles Villanueva | Psychologist | Carretera Ramal 111 Km 0.7, Edificio Lares Office Center, Lares, PR 00669 | 2020-06-10 |
| 1861013161 | Caribbean Health Solution | General Practice | Carr 129 Km 25.4, Lares, PR 00669 | 2020-04-28 |
| 1427686641 | Andy Vega | Student in an Organized Health Care Education/Training Program | Pr 124 Km 22 Hm 4 Bo. Espino, Lares, PR 00669 | 2020-04-01 |
| 1699300921 | Luz Miriam Velez Roman | Pharmacist | Carr. 111 Km 2.9, Ave. Los Patriotas, Lares, PR 00669 | 2020-03-06 |
| 1003446741 | Jose A. Romero Carrero | Pharmacist | Carr.129 Int. Carr.111 Km 23.2 Cruce Mijan, Lares, PR 00669 | 2020-01-22 |
| 1053958256 | Rigoberto Gonzalez Perez | Pharmacist | Centro De Salud De Lares Inc. Carr. 111 Km. 1.9, Lares, PR 00669 | 2019-12-06 |
| 1679118509 | Zulma Roman Perez | Registered Nurse | Campo Alegre 77 Calle Los Pinos, Lares, PR 00669 | 2019-11-14 |
| 1720635543 | Daylin Guerrero Caballero | General Practice | Carretera 129, Km 23.4, Sector Arroyo, Barrio Piletas, Lares, PR 00669 | 2019-08-26 |
| 1346801750 | Jose Enrique Sarazu | Psychologist | Ave. Los Patriotas 501, Lares, PR 00669 | 2019-06-26 |
| 1548820160 | Wilson Gabriel Velez-perez | Student in an Organized Health Care Education/Training Program | Car 129 Int 4453 Km 1.8 Piletas Arce, Lares, PR 00669 | 2019-06-17 |
| Find all providers in zip 00669 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390252 | Stephanie Quiles Villanueva | Psychologist | Carretera Ramal 111 Km 0.7, Edificio Lares Office Center, Lares, PR 00669 | 2020-06-10 |
| 1346801750 | Jose Enrique Sarazu | Psychologist | Ave. Los Patriotas 501, Lares, PR 00669 | 2019-06-26 |
| 1619426996 | Melany Ruiz | Psychologist | C2 Urb Jardines De Lares, Lares, PR 00669 | 2016-09-27 |
| 1457594988 | Hector Bienvenido Crespo Bujosa | Psychologist | Calle Comercio # 134, Lares, PR 00669-0925 | 2009-04-14 |
| 1629249768 | Miriam O Arce | Psychologist | Hc 1 Box 3950, Bo. Callejones, Lares, PR 00669-9634 | 2008-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275489 | Karla Michelle Torres | Psychologist | Calle Jose Cintron 1 Sector Santa Rosa, Bo Santa Rosa 1, Guaynabo, PR 00971 | 2020-11-06 |
| 1043811219 | Patricia Alejandra Alcantara | Psychologist | Arecibo Medical Plaza, 65 Ave Jose Celso Barbosa, Suite 201, Arecibo, PR 00612 | 2020-11-04 |
| 1528668845 | Marlyne Lopez Pantoja | Psychologist | Urb. Monserrate C/ Golondrina G-2 #504, Manati, PR 00674 | 2020-10-27 |
| 1043819097 | Vive Psicologia Integral LLC | Psychologist | Carretera 198 Km 21.7, Bo. Arenas, Las Piedras, PR 00771 | 2020-10-21 |
| 1780283887 | Emily Rosa Matos | Psychologist | State Road 14, Calle Sargento Gerardo Santiago #15, Aibonito, PR 00705 | 2020-10-20 |
| 1497353015 | Elba Iris Velez Ramos | Psychologist | Urb. Estancias De Valle Verde 9 Calle Riachuelo, Manati, PR 00674-9778 | 2020-10-15 |
| 1942807813 | Wanda Esther Torres Hernandez | Psychologist | Carr 143 Km 46.5, Orocovis, PR 00720 | 2020-10-05 |
| 1851998959 | Jahaira Felix Fermin | Psychologist | 93 Carr 20 Villa Venecia 1, Apt. 8a-1, Guaynabo, PR 00966-4018 | 2020-10-02 |
| 1861099947 | Anthony Vives De Leon | Psychologist | Iturregui Plaza Shopping Center, 1135 Avenida 65 De Infanteria, Ste 215-a, San Juan, PR 00924 | 2020-10-02 |
| 1699372797 | Stephanie Hernandez | Psychologist | Medical Center Plaza 740 Ave. Hostos, Suite 213, Mayaguez, PR 00680 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.