Organization
MIND IN MOTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. XAVIER ELIAS JIMENEZ HERNANDEZ MD,PA (OWNER)
(939) 585-6295
Entity
Organization
Contact information
Practice address
#158 CALLE DR. SALAS, ARECIBO, PR 00612
(939) 585-6295
(939) 585-6295
Mailing address
252 NORTHCOAST VLG, VEGA ALTA, PR 00692-8714
(939) 585-6295
(939) 585-6295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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