Individual
JOSE RAUL JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 CALLE FONT MARTELO W STE 440, HUMACAO, PR 00791-3971
(787) 692-8203
Mailing address
PO BOX 459, RIO BLANCO, PR 00744-0459
(787) 692-8203
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22706
PR
Other
Enumeration date
04/29/2022
Last updated
08/17/2022
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