Individual
MR. LUIS C JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
14843 SW 173RD TER, MIAMI, FL 33187-6701
(305) 978-2507
Mailing address
14843 SW 173RD TER, MIAMI, FL 33187-6701
(305) 978-2507
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
3892
FL
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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