Individual
JIMENA MARINO-NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21C COND SANTA ANA, GUAYNABO, PR 00966
(787) 480-2791
Mailing address
1611 NW 12TH AVE # C-301, MIAMI, FL 33136-1005
(305) 585-6970
(305) 545-6501
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME136422
FL
Other
Enumeration date
07/02/2014
Last updated
05/23/2018
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