Individual
ALFREDO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
10770 SW 61ST ST, MIAMI, FL 33173-1206
(786) 443-7374
Mailing address
10770 SW 61ST ST, MIAMI, FL 33173-1206
(786) 443-7374
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA63189
FL
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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