Individual
MR. ROBERTO RAFAEL JIMENEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S
Contact information
Practice address
14813 SW 178TH TER, MIAMI, FL 33187-7707
(305) 331-8439
Mailing address
14813 SW 178TH TER, MIAMI, FL 33187-7707
(305) 331-8439
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1984
FL
Other
Enumeration date
12/28/2006
Last updated
07/09/2007
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