=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952591208
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | J RAUL JIMENEZ-SOTO MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/01/2007
-----------------------------------------------------
Last Update Date | 01/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2311 N MESA BLDG I
-----------------------------------------------------
City | EL PASO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79902
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-544-0600
-----------------------------------------------------
Fax | 915-544-5374
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2311 N MESA ST STE I
-----------------------------------------------------
City | EL PASO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79902-3575
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-544-0600
-----------------------------------------------------
Fax | 915-544-5374
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PSYCHIATRIST
-----------------------------------------------------
Name | JESUS RAUL JIMENEZ
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 915-544-0600
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------