Individual
ANTONIO JIMENEZ CHINEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
C6 AVE ALEJANDRINO, GUAYNABO, PR 00969
(787) 200-8643
Mailing address
URB PRADO ALTO, CALLE 6 #K34, GUAYNABO, PR 00966
(787) 200-8643
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
21122
PR
207RN0300X
Nephrology Physician
MD.206323
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09189769
—
MS
05
—
2105213
—
LA
Enumeration date
05/31/2010
Last updated
11/22/2019
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