Organization
HATO REY MEDICAL GASTRO,CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE C JIMENEZ MD (PRESIDENT)
(787) 274-1282
Entity
Organization
Contact information
Practice address
735 AVE PONCE DE LEON STE 809, TORRE MEDICA AUXILIO MUTUO, SAN JUAN, PR 00917-5031
(787) 274-1282
(787) 764-0898
Mailing address
735 AVE PONCE DE LEON STE 809, TORRE MEDICA AUXILIO MUTUO, SAN JUAN, PR 00917-5031
(787) 274-1282
(787) 764-0898
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
12594
PR
207RG0100X
Gastroenterology Physician
15480
PR
207RG0100X
Gastroenterology Physician
Primary
7165
PR
Other
Enumeration date
06/20/2005
Last updated
07/09/2012
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