Individual
JOSE M MENDEZ JIMINIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
AVE GENERAL VALERO # 353, FAJARDO, PR 00738-3949
(787) 863-4714
(787) 863-4714
Mailing address
AVE GENERAL VALERO # 353, FAJARDO, PR 00738-3949
(787) 863-4714
(787) 863-4714
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12631
PR
Other
Enumeration date
03/20/2006
Last updated
07/11/2012
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