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Individual

JUAN CARLOS JIMENEZ PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
18,288
PR
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
18288
PR
261QS0132X
Ophthalmologic Surgery Clinic/Center
18,288
PR

Other

Enumeration date
10/04/2010
Last updated
07/21/2022
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