| Doctor Name: | DR. LEIDA M JIMINEZ ALFONZO |
| NPI Number: | 1851597355 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 10943 |
| Business Practice Address: | 128 Ashford Ashford Medical Building Suite 201 Guayama, PR - 00785 |
| Business Phone Number: | 7873098648 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1680, GUAYAMA |
| State: | PR |
| Postal Code: | 007851680 |
| Phone Number: | 7873098648 |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 10943 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |