Provider Demographics
NPI:1710861083
Name:PALACIOS PAREDES, JIMENA ALEXANDRA (MD)
Entity type:Individual
Prefix:
First Name:JIMENA
Middle Name:ALEXANDRA
Last Name:PALACIOS PAREDES
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 1:326 E 148TH ST APT 3B
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-5770
Mailing Address - Country:US
Mailing Address - Phone:332-258-1883
Mailing Address - Fax:
Practice Address - Street 1:234 E 149TH ST RM 8-20
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5504
Practice Address - Country:US
Practice Address - Phone:332-258-1883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program