| Centro Medicina Integral Dr. Jimenez Csp | |
|
J24 Calle Elliot Velez Manati PR 00674-4697 | |
| (787) 854-5828 | |
| Not Available |
| Full Name | Centro Medicina Integral Dr. Jimenez Csp |
|---|---|
| Speciality | Family Medicine |
| Location | J24 Calle Elliot Velez, Manati, Puerto Rico |
| Authorized Official Name and Position | Thomas Jimenez (PRESIDENTE) |
| Authorized Official Contact | 7876043845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medicina Integral Dr. Jimenez Csp J24 Calle Elliot Velez Manati PR 00674-4697 Ph: (787) 854-5828 | Centro Medicina Integral Dr. Jimenez Csp J24 Calle Elliot Velez Manati PR 00674-4697 Ph: (787) 854-5828 |
| NPI Number | 1902201742 |
|---|---|
| Provider Enumeration Date | 10/22/2014 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Medicare PECOS PAC ID | 9931432515 |
|---|---|
| Medicare Enrollment ID | O20190613001699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902201742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12345 (Puerto Rico) | Primary |
| Provider Name | Thomas Jimenez Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639287121 PECOS PAC ID: 8628234739 Enrollment ID: I20120718000081 |
| Provider Name | Angel Yamil Alvarez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1801428164 PECOS PAC ID: 9436637469 Enrollment ID: I20260202000152 |
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