Doctor Name: | MARIA ISABEL JIMENEZ RODRIGUEZ |
NPI Number: | 1437522844 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 19220 |
Business Practice Address: | Ave Pedro Albizu Campos Esq Urbanizacion La Hacienda Guayama, PR - 00784 |
Business Phone Number: | 8137273500 |
Business Fax Number: | |
Mailing Address: | 4701 Christa Ct Unit 340, TAMPA |
State: | FL |
Postal Code: | 336147228 |
Phone Number: | 8137273500 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2015 |
NPI Last Update Date: | 11/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 19220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |