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Individual

DR. OBET JIMENEZ- ORTEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
121 AVE DR SUSONI, HATILLO, PR 00659-1843
(787) 262-8526
(787) 898-1592
Mailing address
PO BOX 850, CAMUY, PR 00627-0850
(787) 898-5584
(787) 898-5584

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15074
PR
341600000X
Ambulance
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0022079
TRIPLE S /MEDICARE
PR
Enumeration date
06/23/2006
Last updated
08/22/2021
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