Individual
JIMENA CUBILLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, BOX 656, ROCHESTER, NY 14642-0002
(585) 275-3342
(585) 273-1070
Mailing address
601 ELMWOOD AVE, BOX 656, ROCHESTER, NY 14642-0001
(585) 275-3342
(585) 273-1070
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
236579
NY
2088P0231X
Pediatric Urology Physician
Primary
236579
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03123080
—
NY
Enumeration date
06/16/2008
Last updated
07/06/2023
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