Individual
DR. LEIDA M JIMINEZ ALFONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
128 ASHFORD, ASHFORD MEDICAL BUILDING SUITE 201, GUAYAMA, PR 00785
(787) 309-8648
Mailing address
PO BOX 1680, GUAYAMA, PR 00785-1680
(787) 309-8648
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10943
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2454236
HUMANA
PR
Enumeration date
06/22/2007
Last updated
07/09/2007
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