Individual
DR. MAIRAMANDY JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
EDIF. MEDICO SANTA CRUZ, #73 SUITE 316, BAYAMON, PR 00961
(787) 787-3268
Mailing address
PO BOX 9162, BAYAMON, PR 00960-9162
(787) 787-3268
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
14119
PR
208D00000X
General Practice Physician
Primary
14119
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14119
GENERALIST
PR
Enumeration date
05/23/2007
Last updated
11/17/2022
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