Individual
MARIEL JIMENEZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1484 PASEO FAGOT, PONCE, PR 00716-2304
(787) 444-0402
Mailing address
PO BOX 360549, SAN JUAN, PR 00936-0549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024623
PR
Other
Enumeration date
08/09/2018
Last updated
11/07/2025
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