Individual
DR. JOSE LUIS JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
AVENIDA LUIS MUNOZ MARIN NUM 50, QUADRANGLE MEDICAL CENTER SUITE 203, CAGUAS, PR 00726-0340
(787) 746-6460
(787) 746-6467
Mailing address
PO BOX 340, CAGUAS, PR 00726-0340
(787) 746-6460
(787) 746-6467
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
6793
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85155
SSS
PR
Enumeration date
05/18/2006
Last updated
12/08/2008
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