Individual
DR. ROLANDO L JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2225 PONCE BYP STE 706, PONCE, PR 00717-1379
(787) 284-4830
(787) 284-4814
Mailing address
2225 PONCE BYP, STE 706, PONCE, PR 00717-1321
(787) 284-4830
(787) 284-4814
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
13846
PR
261QX0200X
Oncology Clinic/Center
13846
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12011SO
SSS CHEMO FACILITY ID
PR
01
—
7310399
HUMANA INS PROV ID
PR
01
—
7995
FIRST PLUS PROVIDER ID
PR
01
—
84329JI
SSS MED ONCO ID
PR
Enumeration date
08/01/2006
Last updated
08/02/2007
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