Individual
JUAN R JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
48 CALLE HENNA, URB EL CIBAO, COBO ROJO, PR 00623
(787) 254-3925
(787) 254-3925
Mailing address
2000 CALLE IRIS, URB BUENAVENTURA, MAYAGUEZ, PR 00682-1269
(787) 254-3925
(787) 254-3925
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13535
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100317
CRUZ AZUL
—
01
—
203668
PREFERED HEALTH
—
01
—
20701JI
TRIPLE S
—
01
—
7874
INTERNATIONAL MEDICAL CAR
—
01
—
PE4244
PANAMERICAN
—
Enumeration date
08/04/2006
Last updated
07/08/2007
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