MEDICARE: ANDREA M JIMENEZ NEGRON DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	904	PR

General Provider Information

NPI Number	:	1164126959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA M JIMENEZ NEGRON DC

Provider Business Mailing Address
First Line	:	1717 AVE PONCE DE LEON PH 6
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00909-1972
Country	:	US
Telephone Number	:	787-365-7161
Fax Number	:

Provider Business Practice Location Address
First Line	:	METRO OFFICE PARK
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00968-1704
Country	:	US
Telephone Number	:	787-365-7161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2023
Last Update Date	:	06/04/2026

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