Provider Demographics
NPI:1023795267
Name:JIMENEZ LLOVERA, VICENTE FEDERICO (MD)
Entity type:Individual
Prefix:
First Name:VICENTE
Middle Name:FEDERICO
Last Name:JIMENEZ LLOVERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 CARR 873 APT 2
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-8705
Mailing Address - Country:US
Mailing Address - Phone:786-655-2584
Mailing Address - Fax:
Practice Address - Street 1:23 CARR 873 APT 2
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-8705
Practice Address - Country:US
Practice Address - Phone:786-655-2584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program