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Organization

SOMNICARE SLEEP INSTITUTE, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISSETTE JIMENEZ MD (PRESIDENT)
(787) 754-3300
Entity
Organization

Contact information

Practice address
400 AVE DOMENECH STE 407, SAN JUAN, PR 00918-3704
(787) 754-3300
(787) 754-4966
Mailing address
400 AVE DOMENECH STE 407, SAN JUAN, PR 00918-3704
(787) 754-3300
(787) 754-4966

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
10527
PR
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
10527
PR

Other

Enumeration date
04/27/2012
Last updated
04/27/2012
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