Healthcare Provider Details

I. General information

NPI: 1538213871
Provider Name (Legal Business Name): CLAUDIA ESPERANZA JIMENEZ C.R.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10039 UMBERLAND PL
BOCA RATON FL
33428-4233
US

IV. Provider business mailing address

10039 UMBERLAND PL
BOCA RATON FL
33428-4233
US

V. Phone/Fax

Practice location:
  • Phone: 561-929-7025
  • Fax: 561-558-1188
Mailing address:
  • Phone: 561-929-7025
  • Fax: 561-558-1188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberTT11900
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: