| Doctor Name: | DR. JOSE MANUEL JIMENEZ-CINTRON |
| NPI Number: | 1902047434 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 17734 |
| Business Practice Address: | 6644 E Baywood Ave Banner Baywood Medical Center Mesa, AZ - 85206 |
| Business Phone Number: | 4803213900 |
| Business Fax Number: | 4803213840 |
| Mailing Address: | 6644 E Baywood Ave, Banner Baywood Medical Center MESA |
| State: | AZ |
| Postal Code: | 85206 |
| Phone Number: | 4803213900 |
| Fax Number: | 4803213840 |
| NPI Enumeration Date: | 03/12/2009 |
| NPI Last Update Date: | 10/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17734 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |