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Individual

ELIZA M JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
CARR. #2 KM. 93.3, BO. MEMBRILLO CAMINO LAS FLORES, CAMUY, PR 00627
(787) 544-6677
(787) 544-6868
Mailing address
PO BOX 141903, ARECIBO, PR 00614-1903
(787) 593-9933
(787) 544-6868

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14453
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14553
LICENSE NUMBER
PR
Enumeration date
03/05/2007
Last updated
07/14/2023
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