Individual
LUIS JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4313 AVE CONSTANCIA, URB ESTANCIAS DEL CARMEN, PONCE, PR 00716-9999
(787) 597-7548
Mailing address
4313 AVE CONSTANCIA, URB. ESTANCIAS DEL CARMEN, PONCE, PR 00716-2155
(787) 597-7548
(787) 844-0772
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1234
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4782470
LICENCIA DE CONDUCIR
PR
Enumeration date
04/27/2016
Last updated
01/17/2017
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