Mrs. LISANNETTE MARIE JIMENEZ -- OTA
Individual Provider (NPI-1)
Active
Specialist
Provider Information
- NPI Number
1174733638- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OTA
- Status
- Active
Contact & Location
- Address
- BO. CEIBA PARCELAS HEVIA # 8, CIDRA, PR, 00739
- Phone
- (939) 639-6856
Specialties & Taxonomies
Specialist
Primary License: PR #482
All Addresses
MAILING
BO. CEIBA CASA 8
CIDRA, PR, 00739