Provider Demographics
NPI:1932220407
Name:FRIMAN, JESUS RAFAEL (MD)
Entity Type:Individual
Prefix:
First Name:JESUS
Middle Name:RAFAEL
Last Name:FRIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18400 NW 75TH PL
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-2955
Mailing Address - Country:US
Mailing Address - Phone:786-717-6868
Mailing Address - Fax:305-825-9999
Practice Address - Street 1:18400 NW 75TH PL
Practice Address - Street 2:SUITE 106
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-2955
Practice Address - Country:US
Practice Address - Phone:786-717-6868
Practice Address - Fax:305-825-9999
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2016-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 102936207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine