Damaris Jimenez, RN
Individual provider Active NPI Registered Nurse · Saint Just, PR
NPI 1407199649 · NPPES record last updated Apr 5, 2013
Key facts
- NPI
- 1407199649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 28675 (PR)
- Practice address
- Aniseto Diaz St. Int. 876
Saint Just, PR 00978 - Phone
- (787) 710-2532
- NPI assigned
- Apr 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28675 | PR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28675 | PR | Yes |
Addresses
Primary practice location
Aniseto Diaz St. Int. 876
Saint Just, PR 00978
Mailing address
PO Box 1350
Trujillo Alto, PR 00977-1350
Phone (787) 710-2532
Other providers in Saint Just, PR
All providers in Saint Just, PR · Registered Nurse in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.