Individual
ELAINE JIMENEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UNIVERSITY DISTRICT HOSPITAL, PUERTO RICO MEDICAL CENTER, SAN JUAN, PR 00935-0001
(787) 754-0101
Mailing address
418 KING STREET, THE PURCELL CLINIC, P.A., LAURINBURG, NC 28352
(910) 276-7570
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2017-00786
NC
390200000X
Student in an Organized Health Care Education/Training Program
13458-I
PR
Other
Enumeration date
06/25/2014
Last updated
07/27/2017
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