Individual
JOSE V JIMENEZ TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CLSW
Contact information
Practice address
URB.JOSE DELGADO E11 CALLE 7, CAGUAS, PR 00725-0072
(939) 239-6995
Mailing address
HC 10 BOX 49467, CAGUAS, PR 00725-9605
(939) 239-6995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16122
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16122
—
PR
Enumeration date
02/06/2023
Last updated
08/11/2023
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