Individual
MRS. IDALIS JIMENEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
CARR #2 KM 96.7 BARRIO COCOS, QUEBRADILLAS, PR 00678
(787) 691-5988
(787) 895-4052
Mailing address
PO BOX 1456, QUEBRADILLAS, PR 00678-1456
(787) 691-5988
(787) 895-4052
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
747
PR
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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