| Doctor Name: | DR. EDITH NOEMI PEREZ JIMENEZ |
| NPI Number: | 1558392753 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 15524 |
| Business Practice Address: | Bo. Hoyamala Street 119 Km. 28.6 San Sebastian, PR - 00685 |
| Business Phone Number: | 7872804799 |
| Business Fax Number: | |
| Mailing Address: | Po Box 4673, SAN SEBASTIAN |
| State: | PR |
| Postal Code: | 006854673 |
| Phone Number: | 7874079443 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 09/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15524 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |