Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 3140 | PR |
NPI | 1205990744 |
---|---|
Provider Name | Eleanor Jimenez |
First Address | Guaynabo, PR 00966-2502 |
Second Address | Guaynabo, PR 00966-2502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 08/07/2007 |