Provider Demographics
NPI:1205429560
Name:JIMENEZ RIVAS, ANELYS JANETTE (MD)
Entity type:Individual
Prefix:DR
First Name:ANELYS
Middle Name:JANETTE
Last Name:JIMENEZ RIVAS
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 2 BOX 7620
Mailing Address - Street 2:
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720-9441
Mailing Address - Country:US
Mailing Address - Phone:787-501-4416
Mailing Address - Fax:
Practice Address - Street 1:URB. JARDINES DE ESCORIAL
Practice Address - Street 2:CALLE CERVANTES #251
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-501-4416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-18
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty