Individual
BALTASAR JIMENEZ CONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARRETERA 812 KM 27, BAYAMON, PR 00956-0000
(787) 792-2842
Mailing address
PO BOX 360468, SAN JUAN, PR 00936-0468
(787) 792-2842
(787) 792-2842
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4051
PR
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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