DR. JELISSE MATOS RENTA PSY.D
NPI 1720739899
Psychologist - Clinical in Ponce, PR

Q: What is Jelisse Matos Renta's NPI number?

The NPI number for Jelisse Matos Renta is 1720739899. It was assigned to this individual provider in the NPPES registry on January 11, 2022. The provider is also known as Dr. Jelisse Matos Renta Med.

Q: What is Jelisse Matos Renta's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since January 11, 2022PECOS EnrolledAccepts Medicare Assignment

CALLE MAYOR, PONCE, PR 00730(787) 905-5216 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 7, 2025, Jan 11, 2022 (2 updates tracked since 2022).

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About Dr. Jelisse Matos Renta Psy.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JELISSE MATOS RENTA PSY.D (NPI 1720739899) is an individual clinical provider in Ponce, Puerto Rico, licensed in Puerto Rico (6671) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720739899

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JELISSE MATOS RENTACredential: PSY.D

Location AddressCALLE MAYORPonce, PR 00730

Mailing Address202 Calle PrincipeCoto Laurel, PR 00780-3211 · (787) 905-5216

Phone(787) 905-5216

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 11, 2022

Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration

NPPES CertifiedAugust 20, 2025

✔ NPI 1720739899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PR · 6671

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 6671 (PR)

Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 6671 (PR)

Other Names 1

Professional Name (2)Dr. Jelisse Matos Renta Med

Other Identifiers 1

Medicaid131920PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jelisse Matos Renta Psy.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284132408

PECOS Enrollment IDI20250807002653

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$172.44 typical visit price

range $56.86 – $172.44

Typical copayment $43.11 (range $14.21 – $43.11)

Most-billed visit code 99205

Established Patient

$100.24 typical visit price

range $18.24 – $140.44

Typical copayment $25.06 (range $4.56 – $35.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jelisse Matos Renta's NPI number?

The NPI number for Jelisse Matos Renta is 1720739899. It was assigned to this individual provider in the NPPES registry on January 11, 2022. The provider is also known as Dr. Jelisse Matos Renta Med.

Where is Jelisse Matos Renta located?

Jelisse Matos Renta practices at Calle Mayor, Ponce, PR 00730. The listed phone number is (787) 905-5216.

What is Jelisse Matos Renta's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jelisse Matos Renta enrolled in Medicare?

Yes. Jelisse Matos Renta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jelisse Matos Renta was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.