Healthcare Provider Details

I. General information

NPI: 1699597146
Provider Name (Legal Business Name): XIOMARA TORRES JIMENEZ DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. GOLDEN HILL B-4 C. ANICETO DIAZ
TRUJILLO ALTO PR
00976
US

IV. Provider business mailing address

1470 CALLE EBANO
SAN JUAN PR
00920-3516
US

V. Phone/Fax

Practice location:
  • Phone: 939-408-3470
  • Fax:
Mailing address:
  • Phone: 787-213-9294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number921
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: