Organization
JCOCULOPLASTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS JIMENEZ PEREZ MD (SOLE MEMBER)
(787) 758-2404
Entity
Organization
Contact information
Practice address
572 CALLE CESAR GONZALEZ, SAN JUAN, PR 00918-3738
(787) 758-2404
(787) 764-4227
Mailing address
572 CALLE CESAR GONZALEZ, SAN JUAN, PR 00918-3738
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
18288
PR
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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