Organization
CARLOS E. JIMENEZ HUYKE MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS E JIMENEZ MD (PRESIDENT)
(787) 852-1358
Entity
Organization
Contact information
Practice address
SUITE A-2 PROFESSIONAL PLAZA, CARR 908 KM 0.4 BO. TEJAS, HUMACAO, PR 00792
(787) 852-1358
(787) 850-1388
Mailing address
PMB 500, 100 GRAND POSEO BLVD 112, SAN JUAN, PR 00926
(787) 283-0804
(787) 761-5764
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
14798
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14798
PR MEDICAL LICENSE
PR
Enumeration date
03/05/2008
Last updated
12/04/2019
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