MEDICARE: CRISTINA ALEXANDRA ABREU JIMENEZ M.D.

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	207V00000X	Obstetrics & Gynecology Physician	18371	PR

General Provider Information

NPI Number	:	1366724015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTINA ALEXANDRA ABREU JIMENEZ M.D.

Provider Business Mailing Address
First Line	:	URB. EL DORADO, STREET B-C 13
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-3405
Country	:	US
Telephone Number	:	787-237-8428
Fax Number	:

Provider Business Practice Location Address
First Line	:	URB. EL CARIBE 1565 CALLE ALDA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926
Country	:	US
Telephone Number	:	787-930-3410
Fax Number	:	787-946-7676

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

Provider Enumeration Date	:	09/19/2011
Last Update Date	:	08/28/2016

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