| Jorge Jimenez Maldonado,csp | |
|
C15 Calle A S Manati PR 00674-5412 | |
| (787) 884-6595 | |
| Not Available |
| Full Name | Jorge Jimenez Maldonado,csp |
|---|---|
| Speciality | Family Medicine |
| Location | C15 Calle A S, Manati, Puerto Rico |
| Authorized Official Name and Position | Jorge D Jimenez (PRESIDENTE) |
| Authorized Official Contact | 7878846595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Jimenez Maldonado,csp Po Box 2020 Barceloneta PR 00617-2020 Ph: (787) 383-2802 | Jorge Jimenez Maldonado,csp C15 Calle A S Manati PR 00674-5412 Ph: (787) 884-6595 |
| NPI Number | 1053444091 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053444091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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