Provider Demographics
NPI:1467040006
Name:INIGUEZ, JAIME ALBERTO
Entity Type:Individual
Prefix:MR
First Name:JAIME
Middle Name:ALBERTO
Last Name:INIGUEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 36TH AVE APT 301
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2654
Mailing Address - Country:US
Mailing Address - Phone:415-994-6376
Mailing Address - Fax:
Practice Address - Street 1:982 MISSION STREET
Practice Address - Street 2:FLEXIBLE HOUSING POOL TEAM
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103
Practice Address - Country:US
Practice Address - Phone:628-758-2401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker