Provider Demographics
NPI:1144278045
Name:JIMENEZ-HUYKE, CARLOS ENRIQUE (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ENRIQUE
Last Name:JIMENEZ-HUYKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:100 GRAND PASEO BLVD 112
Mailing Address - Street 2:PMB 500
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-567-4855
Mailing Address - Fax:
Practice Address - Street 1:SUITE A-2 CARR 908 KM 0.4
Practice Address - Street 2:BO TEJAS
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00792
Practice Address - Country:US
Practice Address - Phone:787-852-1358
Practice Address - Fax:787-850-1388
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR14798207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology