IVELISSE PENA JIMENO

SAN JUAN, PR
NPI1225174816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: PR  12440)
Enumeration Date2007-01-30
Last Update Date2007-07-09
Business Address
Dr. IVELISSE PENA JIMENO MD
346 CALLE 32 VILLA NEVAREZ
SAN JUAN, PR 00927-5111
Phone number: 787-751-2653
Mailing Address
Dr. IVELISSE PENA JIMENO MD
PO BOX 51320
TOA BAJA, PR 00950-1320
Phone number: 787-751-2653
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