Individual
MR. GERSON JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23 OESTE CALLE ENRIQUE GONZALEZ, GUAYAMA, PR 00784
(787) 864-0992
(787) 866-5148
Mailing address
P O BOX 547, GUAYAMA, PR 00785
(787) 864-0189
(787) 866-5148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05728
PR
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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