Individual
MR. CARMELO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
168 AVE BARBOSA, CATANO, PR 00962-4782
(939) 262-8213
Mailing address
URB. PARQUE DE TORRIMAR, 5 ST. G-3, BAYAMON, PR 00959-8947
(787) 688-6836
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1606
PR
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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