# CLINICA OFTALMICA QUADRANGLE PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023061694
- **Authorized official:** DR. JOSE LUIS JIMENEZ M.D. (OWNER)
- **Authorized official phone:** (787) 746-6460

## Contact information

- **Practice address:** 50 AVE LUIS MUNOZ MARIN, QUADRANGLE MEDICAL CENTER SUITE 203, CAGUAS, PR 00725-3975
- **Practice address phone:** (787) 746-6460
- **Practice address fax:** (787) 746-6467
- **Mailing address:** PO BOX 340, CAGUAS, PR 00726-0340
- **Mailing address phone:** (787) 746-6460
- **Mailing address fax:** (787) 746-6467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 07/18/2014