Leida M Jiminez Alfonzo, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10943 Issued in PR

Practice address

128 Ashford
Ashford Medical Building Suite 201
Guayama, PR 00785

Phone

(787) 309-8648

NPI assigned

Jun 22, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leida Santiago Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851597355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1680",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007851680",
            "telephone_number": "787-309-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ASHFORD",
            "address_2": "ASHFORD MEDICAL BUILDING SUITE 201",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00785",
            "telephone_number": "787-309-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMINEZ ALFONZO",
        "first_name": "LEIDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "2454236",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIDA",
            "last_name": "SANTIAGO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzie Jean-Louis, MD
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• Arhimazda Jimenez, D.D.S.
• Gerson Jimenez, M.D.
• JL Rivera & Sons Inc (Express Clinical Lab)
• JL Rivera & Sons Inc (Express Clinical Lab)
• JLR Anesthesia Group LLC
• Jose a Cebollero Marcucci - Surgical Oncology PSC
• JSL Medical Services, LLC (JSL Medical Services)

• General Practice Physician in Guayama, PR
• Providers in Guayama, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.