Jimenez-Agosto, John
Jimenez-Agosto, John is an individual health care provider with primary practice located at 59 Calle Santa Cruz Fourth Floor, Bayamon PR 00961-6900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jimenez-Agosto, John can be contacted via phone (787) 717-6240.Contact Information
Primary practice address
59 Calle Santa Cruz Fourth Floor
Bayamon PR 00961-6900
Phone: (787) 717-6240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5724 | Puerto Rico |
Profile Details
| NPI number | 1376533034 |
|---|---|
| LBN Legal business name | Jimenez-Agosto, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | May 28th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376533034 | NPPES |
| Other | 5724 | NAT LICENSE |
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