Organization
JIMENEZ DIAZ SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA DIAZ DIAZ (CEO)
(347) 363-0990
Entity
Organization
Contact information
Practice address
1111 COMMONWEALTH AVE APT 8TT, BRONX, NY 10472-1038
(347) 364-0990
Mailing address
1111 COMMONWEALTH AVE APT 8TT, BRONX, NY 10472-1038
(347) 364-0990
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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