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NPI Code Detail

MEDICARE: MELISSA MARIE OWEN JIMENEZ MD

MEDICARE:   MELISSA MARIE OWEN 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
1208000000XPediatrics Physician23872PR

General Provider Information

NPI Number : 1962131565
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MARIE OWEN JIMENEZ MD
Provider Business Mailing Address
First Line : URB QUINTAS DEL RIO
Second Line : CALLE SENDA DE LA POSADA N10
City : BAYAMON
State : PR
Zip : 00961
Country : US
Telephone Number : 787-671-2505
Fax Number :
Provider Business Practice Location Address
First Line : URB VILLA LOS SANTOS, V1 CALLE 16
Second Line :
City : ARECIBO
State : PR
Zip : 00612-3112
Country : US
Telephone Number : 787-879-1585
Fax Number : 787-815-2929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2022
Last Update Date : 01/26/2026

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Directions to “ MELISSA MARIE OWEN JIMENEZ MD” Practice Location

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