Individual
JOAN MARIE RODRIGUEZ JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HF16 CALLE LIZZIE GRAHAM, TOA BAJA, PR 00949-3634
(787) 795-2935
Mailing address
5153 AVE RAMON RIOS, SABANA SECA, PR 00952-4250
(939) 322-8688
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23150
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23150
MD
PR
Enumeration date
03/05/2021
Last updated
01/25/2025
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