Provider Demographics
NPI:1376166702
Name:JIMENEZ FRIAS, ANYELINA (MD)
Entity Type:Individual
Prefix:
First Name:ANYELINA
Middle Name:
Last Name:JIMENEZ FRIAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 CALLE COLTON
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00915-2214
Mailing Address - Country:US
Mailing Address - Phone:787-349-4218
Mailing Address - Fax:
Practice Address - Street 1:CALLE SERGIO CUEVA BUSTAMANTE
Practice Address - Street 2:550
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-758-8383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-20
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program