Cubillos, Jimena

Cubillos, Jimena is an individual health care provider with primary practice located at 601 Elmwood Ave Box 656, Rochester NY 14642-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is her primary health care specialty. Cubillos, Jimena can be contacted via phone (585) 275-3342.

Contact Information

Primary practice address
601 Elmwood Ave Box 656 Rochester NY 14642-0002
Phone: (585) 275-3342
Fax: (585) 273-1070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 236579 New York
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 236579 New York

Profile Details

NPI number 1003076753
LBN Legal business name Cubillos, Jimena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2008
Last updated Jul 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003076753 NPPES
New York MEDICAID 03123080

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