Lisnette Jimenez, MPHE

Individual provider Active NPI Health Educator · Orocovis, PR

NPI 1972967693 · NPPES record last updated Apr 8, 2016

Key facts

NPI
1972967693
Entity type
Individual (NPI type 1)
Primary specialty
Health Educator 174H00000X
License
1002 (PR)
Practice address
HC 02 Bocx 7606
Orocovis, PR 00720-9440
Phone
(787) 515-0565
NPI assigned
Apr 8, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1002PRMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 1002 PR Yes

Addresses

Primary practice location

HC 02 Bocx 7606
Orocovis, PR 00720-9440

Mailing address

HC 02 Bocx 7606
Orocovis
Orocovis, PR 00720-9440
Phone (787) 515-0565

Other providers in Orocovis, PR

All providers in Orocovis, PR · Health Educator in Puerto Rico

Sources for this page

Verify at the official NPI Registry.