Individual
ROBERTO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
HC 1 BOX 6933, MOCA, PR 00676-9552
(787) 247-0866
Mailing address
HC 1 BOX 6933, MOCA, PR 00676-9552
(787) 247-0866
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19458
PR
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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