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Individual
CARLOS ROBERTO GIMENEZ JR.
Active
Individual
CARLOS ROBERTO GIMENEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
MD.204704
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06875301
—
MS
05
—
2395599
—
LA
Enumeration date
03/19/2010
Last updated
01/28/2016
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