Individual
LIZA M RODRIGUEZ JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD208555
OR
208M00000X
Hospitalist Physician
M-11300
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011459180001
—
PA
05
—
1011459180002
—
PA
05
—
1011459180003
—
PA
01
—
1672808
HIGHMARK BLUE SHIELD
PA
01
—
2347693000
BLUECROSS BLUESHIELD
PA
Enumeration date
11/17/2005
Last updated
12/18/2025
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