Provider Demographics
NPI:1538715594
Name:JIMENEZ HERNANDEZ, REYNAT (MD)
Entity type:Individual
Prefix:
First Name:REYNAT
Middle Name:
Last Name:JIMENEZ HERNANDEZ
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:HC 5 BOX 15513
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-9647
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LA FUENTE TOWN CENTER
Practice Address - Street 2:760 CALLE MARGINAL SUITE 209
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-6048
Practice Address - Country:US
Practice Address - Phone:787-412-1539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR022925208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist