Individual
DR. JOHN JIMENEZ-AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
59 CALLE SANTA CRUZ, FOURTH FLOOR, BAYAMON, PR 00961-6900
(787) 717-6240
Mailing address
C/ LIMONCILLO #73, SANTA MARIA, SAN JUAN, PR 00927-6622
(787) 717-6240
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5724
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5724
NAT LICENSE
—
Enumeration date
10/25/2005
Last updated
05/28/2009
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