Provider Demographics
NPI:1073120234
Name:MIRAMONTES, JOSE JESUS (INTERPRETER)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:JESUS
Last Name:MIRAMONTES
Suffix:
Gender:M
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 S DENNIS ST
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-4714
Mailing Address - Country:US
Mailing Address - Phone:509-440-0579
Mailing Address - Fax:866-229-3479
Practice Address - Street 1:417 S DENNIS ST
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-4714
Practice Address - Country:US
Practice Address - Phone:509-440-0579
Practice Address - Fax:866-229-3479
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC52530171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter