Individual
WILMARI JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12 CALLE NUEVA, COROZAL, PR 00783-1942
(787) 859-8854
(787) 859-8854
Mailing address
PO BOX 1374, COROZAL, PR 00783-7002
(787) 859-8854
(787) 859-8854
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1033
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-1033
MCS
PR
01
—
2643
FIRST MEDICAL
PR
01
—
870053
MMM
PR
Enumeration date
05/23/2006
Last updated
09/08/2010
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