Provider Demographics
NPI:1821240599
Name:JIMENEZ FRANCO, JULIA ENID
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ENID
Last Name:JIMENEZ FRANCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 370935
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-0935
Mailing Address - Country:US
Mailing Address - Phone:787-391-1492
Mailing Address - Fax:
Practice Address - Street 1:CALLE RAFAEL COCA NAVAS #138
Practice Address - Street 2:URB 5TA LAS MUESAS
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-391-1492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR937235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist