Healthcare Provider Details

I. General information

NPI: 1073430567
Provider Name (Legal Business Name): JIMENEZ-FRIAS INFECTIOUS DISEASES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 CALLE COLTON
SAN JUAN PR
00915-2214
US

IV. Provider business mailing address

251 CALLE COLTON
SAN JUAN PR
00915-2214
US

V. Phone/Fax

Practice location:
  • Phone: 787-349-4219
  • Fax:
Mailing address:
  • Phone: 787-349-4218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: ANYELINA JIMENEZ FRIAS
Title or Position: PHYSICIAN
Credential: MD
Phone: 787-349-4218