Individual
MR. MIGUEL ANGEL JIMENEZ MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASTER
Contact information
Practice address
SAN RAFAEL #211, BO. SALUD, MAYAGUEZ, P.R, MAYAGUEZ, PR 00680
(787) 951-0230
Mailing address
SAN RAFAEL #211, BO. SALUD, MAYAGUEZ, P.R., MAYAGUEZ, PR 00680
(939) 641-0818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15800
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0812
0812
PR
Enumeration date
06/17/2022
Last updated
06/21/2022
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