Centro Medicina Integral Dr. Jimenez Csp
Family Medicine in Manati, PR. Organization (NPI-2).
NPI number1902201742
StatusActive
Last updated in NPPESOct 24, 2024
Details
- NPI
- 1902201742
- Entity type
- Organization (NPI-2)
- Legal business name
- Centro Medicina Integral Dr. Jimenez Csp
- Organization subpart
- No
- Enumeration date
- Oct 22, 2014
- Certification date
- Oct 24, 2024
- Last updated
- Oct 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 12345 | PR | Yes |
Practice location
J24 Calle Elliot VelezManati, PR 00674-4697
Phone 787-854-5828
Mailing address
J24 Calle Elliot VelezManati, PR 00674-4697
Phone 787-854-5828
Authorized official
Thomas Jimenez
Presidente
7876043845
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