Provider Demographics
NPI:1396907002
Name:JIMENEZ, ARTURO A (RRT)
Entity type:Individual
Prefix:MR
First Name:ARTURO
Middle Name:A
Last Name:JIMENEZ
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:500 CARR 861
Mailing Address - Street 2:LOS FAROLES BOX 138
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9313
Mailing Address - Country:US
Mailing Address - Phone:787-201-4822
Mailing Address - Fax:787-771-2600
Practice Address - Street 1:500 CARR 861
Practice Address - Street 2:LOS FAROLES BOX 138
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-9313
Practice Address - Country:US
Practice Address - Phone:787-201-4822
Practice Address - Fax:787-771-2600
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR3992279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health