Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lisannette Marie Jimenez, OTA

Individual provider Specialist · NPI 1174733638

Mrs. Lisannette Marie Jimenez, OTA is a Specialist in Cidra, Puerto Rico. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2007
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Bo Ceiba Parcelas Hevia # 8
Cidra, PR 00739
Phone: (939) 639-6856

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Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 482 (PR)

Record details

NPI number1174733638
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 8, 2007

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