Provider Demographics
NPI:1871681783
Name:JIMENEZ COLON, NATALIA ZAYRAH (MD)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:ZAYRAH
Last Name:JIMENEZ COLON
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:HC 1 BOX 7279
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-7335
Mailing Address - Country:US
Mailing Address - Phone:787-531-6686
Mailing Address - Fax:787-650-8246
Practice Address - Street 1:BARRIO CARRIZALES
Practice Address - Street 2:CARR 493 KM 1.0
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-650-8252
Practice Address - Fax:787-650-8246
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15690208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
23003Medicare UPIN
I39357Medicare ID - Type Unspecified