1841998325 NPI number — CORALIS JIMENEZ

Table of content: CORALIS JIMENEZ (NPI 1841998325)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841998325 NPI number — CORALIS JIMENEZ

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JIMENEZ
Provider First Name:
CORALIS
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JIMENEZ
Provider Other First Name:
CORALIS
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1841998325
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/23/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
COND. WOODLANDS 921 CARR 876
Provider Second Line Business Mailing Address:
APT 140
Provider Business Mailing Address City Name:
TRUJILLO ALTO
Provider Business Mailing Address State Name:
PUERTO RICO
Provider Business Mailing Address Postal Code:
00976
Provider Business Mailing Address Country Code:
UM
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
COND. WOODLANDS 921 CARR 876
Provider Second Line Business Practice Location Address:
APT 140
Provider Business Practice Location Address City Name:
TRUJILLO ALTO
Provider Business Practice Location Address State Name:
PUERTO RICO
Provider Business Practice Location Address Postal Code:
00976
Provider Business Practice Location Address Country Code:
UM
Provider Business Practice Location Address Telephone Number:
787-478-9436
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/23/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6469568 . This is a "ASSMCA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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