Organization
CARDIOLOGIA PREVENTIVA CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIO E JIMENEZ MD (PRESIDENT)
(787) 745-2666
Entity
Organization
Contact information
Practice address
QUADRANGLE MEDICAL CENTER, 50 AVE L MUNOZ MARIN SUITE 303, CAGUAS, PR 00725-3982
(787) 745-2666
Mailing address
QUADRANGLE MEDICAL CENTER, 50 AVE L MUNOZ MARIN SUITE 303, CAGUAS, PR 00725-3982
(787) 745-2666
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
8897
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8897
LICENSE
PR
Enumeration date
10/25/2017
Last updated
10/25/2017
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