Organization
DR JOSE M MENDEZJIMINIAN CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE M MENDEZ JIMINIAN MD (PRESIDENT)
(787) 863-4714
Entity
Organization
Contact information
Practice address
353 AVE GENERAL VALERO, FAJARDO, PR 00738-4843
(787) 863-4714
(787) 655-2301
Mailing address
PO BOX 2010, FAJARDO, PR 00738-2010
(787) 863-4714
(787) 655-2301
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
12631
PR
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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