Individual
MR. SANTIAGO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1655 PALM BEACH LAKES BLVD STE 300, WEST PALM BEACH, FL 33401-2203
(561) 612-6000
Mailing address
1655 PALM BEACH LAKES BLVD STE 300, WEST PALM BEACH, FL 33401-2203
(561) 612-6000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105072800
—
FL
Enumeration date
12/13/2019
Last updated
01/20/2020
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