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NPI Code Detail

MEDICARE: DR. ELENA MARIA JIMENEZ MD

MEDICARE: DR. ELENA MARIA JIMENEZ MD
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
1207W00000XOphthalmology Physician13621PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
162095OTHERBLUE CROSS
29260093OTHERHUMANA
323074OTHERPREFERRED

General Provider Information

NPI Number : 1003981804
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELENA MARIA JIMENEZ MD
Provider Business Mailing Address
First Line : 735 AVE PONCE DE LEON STE 503
Second Line :
City : SAN JUAN
State : PR
Zip : 00917-5026
Country : US
Telephone Number : 787-510-7880
Fax Number : 787-925-1200
Provider Business Practice Location Address
First Line : 735 AVE PONCE DE LEON STE 503
Second Line :
City : SAN JUAN
State : PR
Zip : 00917-5026
Country : US
Telephone Number : 787-510-7880
Fax Number : 787-925-1200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 10/03/2024

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Directions to “ DR. ELENA MARIA JIMENEZ MD” Practice Location

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