Provider Demographics
NPI:1154206860
Name:MORONTA JIMENEZ, MERCEDES MARGARITA (DOULA)
Entity type:Individual
Prefix:
First Name:MERCEDES
Middle Name:MARGARITA
Last Name:MORONTA JIMENEZ
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 SHERIDAN AVE APT 2D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-3062
Mailing Address - Country:US
Mailing Address - Phone:929-866-9399
Mailing Address - Fax:
Practice Address - Street 1:144 SHERIDAN AVE APT 2D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-3062
Practice Address - Country:US
Practice Address - Phone:929-866-9399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula