Individual
JUAN A JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
201 AVE DOMENECH, SAN JUAN, PR 00918-3505
(787) 274-0634
Mailing address
AVE DOMENECH 201, HATO REY, PR 00918
(787) 274-0634
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1463
PR
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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