Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ivelisse Pena Jimeno, MD

Individual provider Family Medicine Physician · NPI 1225174816

Dr. Ivelisse Pena Jimeno, MD is a General Practice in San Juan, Puerto Rico. Qualified in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
44
Licensed in
PR
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

346 Calle 32 Villa Nevarez
San Juan, PR 00927-5111
Phone: (787) 751-2653

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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12440 (PR)

Record details

NPI number1225174816
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJuly 9, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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