Provider Demographics
NPI:1366724015
Name:ABREU JIMENEZ, CRISTINA ALEXANDRA (MD)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:ALEXANDRA
Last Name:ABREU JIMENEZ
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:URB. EL DORADO, STREET B-C 13
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-3405
Mailing Address - Country:US
Mailing Address - Phone:787-237-8428
Mailing Address - Fax:
Practice Address - Street 1:URB. EL CARIBE 1565 CALLE ALDA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-930-3410
Practice Address - Fax:787-946-7676
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18371207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology