Active NPIIndividual providerSole proprietor

Mrs. Lisannette M Jimenez, OTA

Specialist in Cidra, Puerto Rico

NPI Number1174733638
Practice location
Bo. Ceiba Parcelas Hevia # 8, Cidra, PR 00739
Fax
—
Last updated
July 8, 2007

Lisannette Marie Jimenez is a Specialist based in Cidra, PR. Lisannette Marie Jimenez practices in Cidra, PR and has the professional credentials of OTA. The NPI Number for Lisannette Marie Jimenez is 1174733638 and holds a License No. 482 (PR). The current practice location address for Lisannette Marie Jimenez is Bo. Ceiba Parcelas Hevia # 8, Cidra, PR 00739 and can be reached out via phone at 939-639-6856.

Provider Profile Details

NPI Number
1174733638
Provider Name
Lisannette Marie Jimenez
Credential
OTA
Provider Entity Type
Individual
Gender
Female
Address
Bo. Ceiba Parcelas Hevia # 8, Cidra, PR 00739
Phone Number
939-639-6856
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
May 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Bo. Ceiba Parcelas Hevia # 8
Cidra, PR 00739
City
Cidra
Zip
00739
Phone Number
939-639-6856
Cidra, PR 00739Get directions →

Provider Business Mailing Address Details

Address
Bo. Ceiba Casa 8
Cidra, PR 00739
City
Cidra
State
PR
Zip
00739

License Information

License Number
482
License State
PR
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Lisannette M Jimenez, OTA?

The NPI number of Mrs. Lisannette M Jimenez, OTA is 1174733638. It was assigned on May 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Lisannette M Jimenez, OTA?

Mrs. Lisannette M Jimenez, OTA is registered under the primary taxonomy Specialist (code 174400000X), licensed in PR under license number 482.

Where does Mrs. Lisannette M Jimenez, OTA practice?

The practice location is Bo. Ceiba Parcelas Hevia # 8, Cidra, PR 00739. The office can be reached at 939-639-6856 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174733638 directly on the NPPES registry website.

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