Provider Demographics
NPI:1578863296
Name:JIJON, ALFREDO JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFREDO
Middle Name:JOSE
Last Name:JIJON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:CENTRO MEDICO MEDITROPOLI OFI 215
Mailing Address - Street 2:AVE. MARIANA DE JESUS Y AVE. OCCIDENTAL
Mailing Address - City:QUITO
Mailing Address - State:PICHINCHA
Mailing Address - Zip Code:00000
Mailing Address - Country:EC
Mailing Address - Phone:5932-226-0581
Mailing Address - Fax:5932-226-0583
Practice Address - Street 1:AVE MARIANA DE JESUS Y AVE OCCIDENTAL OE8
Practice Address - Street 2:CENTRO MEDICO MEDITROPOLI OFI 215
Practice Address - City:QUITO
Practice Address - State:PICHINCHA
Practice Address - Zip Code:00000
Practice Address - Country:EC
Practice Address - Phone:5932-226-0581
Practice Address - Fax:5932-226-0583
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZCMP3311207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology