Edgar Jimenez in Waterbury - Addiction (substance Use Disorder)
Edgar Jimenez - NPI 1205019569
Edgar Jimenez is a Addiction (substance Use Disorder) in Waterbury, Connecticut. Edgar Jimenez practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Edgar Jimenez is 1205019569. The last update date is 2007-12-10.
Edgar Jimenez's current location address is 402 E Main St, Waterbury, Connecticut. You can contact this provider via phone number 237551143 and fax number 2037533274. The mailing address for Edgar Jimenez is 402 E Main St, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar Jimenez |
|---|---|
| Address | 402 E Main St, Waterbury, Connecticut |
| Phone Number | 237551143 |
| Fax Number | 2037533274 |
| Sole Proprietor | N |
| Credentials | CADC |
NPI Number Detail
| NPI Number | 1205019569 |
|---|---|
| Provider Enumeration Date | 2007-12-10 |
| Last Updated Date | 2007-12-10 |
Provider Mailing Address Detail
| Address | 402 E Main St |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 67021701 |
| Phone Number | 237551143 |
| Fax Number | 2037533274 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | CADC1378 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique identifier code issued to Edgar Jimenez by the Centers for Medicare & Medicaid Services (CMS)?
The Edgar Jimenez has been assigned the NPI (National Provider Identifier) 1205019569. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Edgar Jimenez located?
The Edgar Jimenez is located at 402 E Main St, Waterbury, CT 67021701.
What is Edgar Jimenez's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Edgar Jimenez is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205019569 to Edgar Jimenez?
The Centers for Medicare & Medicaid Services originally issued the 1205019569 to Edgar Jimenez on 2007-12-10.
As of what date was the information pertaining to Edgar Jimenez, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edgar Jimenez, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-10.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC