Individual
JORGE ALBERTO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10202 JEFFERSON HWY STE D, BATON ROUGE, LA 70809-3183
(225) 768-8833
(225) 769-4839
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8116
(614) 293-5315
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35135633
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
325976
LA
207WX0107X
Retina Specialist (Ophthalmology) Physician
35135633
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0359466
—
OH
05
—
2561375
—
LA
Enumeration date
04/10/2015
Last updated
08/25/2021
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