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Individual

DR. EMILIO JIMENEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., F.A.C.O.G.

Contact information

Practice address
6 CALLE JOSE FERNANDEZ, SAN JUAN, PR 00918-4404
(787) 763-1612
(787) 753-7615
Mailing address
PO BOX 22678, SAN JUAN, PR 00931-2678
(787) 763-1612
(787) 753-7615

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3363
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
062010
CRUZ AZUL
PR
01
209155
PREFERRED HEALTH
PR
01
3-3363
MCS
PR
01
3363
MAPFRE
PR
01
601385
MEDICARE Y MUCHO MAS(MMM)
PR
01
9260002
HUMANA
PR
01
94854JI
TRIPLE S
PR
Enumeration date
03/08/2006
Last updated
02/26/2010
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