Provider Demographics
NPI:1154307411
Name:TIJMES, JORGE EDMUND (MD)
Entity type:Individual
Prefix:
First Name:JORGE
Middle Name:EDMUND
Last Name:TIJMES
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:PO BOX 20474
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4099
Mailing Address - Country:US
Mailing Address - Phone:956-687-2032
Mailing Address - Fax:956-668-8939
Practice Address - Street 1:320 N MCCOLL RD
Practice Address - Street 2:SUITE A
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-9348
Practice Address - Country:US
Practice Address - Phone:956-687-2032
Practice Address - Fax:956-668-8939
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3784207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133228003Medicaid
TX84T580Medicare PIN
TX133228003Medicaid