Doctor Name: | MRS. DORIS A JIMENEZ |
NPI Number: | 1013216662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP A |
License Number: | SI1221 |
Business Practice Address: | 401 Miracle Mile Ste 403 Coral Gables, FL - 331344926 |
Business Phone Number: | 3054461098 |
Business Fax Number: | 3054461638 |
Mailing Address: | 401 Miracle Mile Ste 403, CORAL GABLES |
State: | FL |
Postal Code: | 331344926 |
Phone Number: | 3054461098 |
Fax Number: | 3054461638 |
NPI Enumeration Date: | 03/22/2011 |
NPI Last Update Date: | 11/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | SI1221 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |