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Individual

DR. JORGE RIVERA-JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13820 OLD SAINT AUGUSTINE RD STE 101, JACKSONVILLE, FL 32258-5424
(049) 260-2565
(904) 246-6878
Mailing address
13820 OLD SAINT AUGUSTINE RD STE 101, JACKSONVILLE, FL 32258-5424
(904) 260-2565
(049) 246-6878

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
15958
PR
208000000X
Pediatrics Physician
Primary
ME 120808
FL
208000000X
Pediatrics Physician
ME120808
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018225000
FL
Enumeration date
11/14/2006
Last updated
08/09/2023
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