Provider Demographics
NPI:1356491625
Name:JIMENEZ-CHAFEY, MARIA I (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:I
Last Name:JIMENEZ-CHAFEY
Suffix:
Gender:F
Credentials:PSYD
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Mailing Address - Street 1:609 CALLE CUEVILLAS
Mailing Address - Street 2:APT. 1 - B
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-3250
Mailing Address - Country:US
Mailing Address - Phone:787-722-4233
Mailing Address - Fax:787-773-8303
Practice Address - Street 1:EDIF. DECANATO FARMACIA, CENTRO MEDICO DE PR
Practice Address - Street 2:PRIMER PISO
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00936-8344
Practice Address - Country:US
Practice Address - Phone:787-773-8283
Practice Address - Fax:787-773-8303
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR2117103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical