Individual
CARLOS JAVIER JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
252 NORTHCOAST VLG, VEGA ALTA, PR 00692-8714
(787) 247-7635
Mailing address
252 NORTHCOAST VLG, VEGA ALTA, PR 00692-8714
(787) 247-7635
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2312
PR
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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