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Alfonso F Jimenez
Clinic/Center in Ewa Beach, Hawaii
NPI 1821290917

Alfonso F Jimenez is a Clinic/Center based in Ewa Beach, HI. Alfonso F Jimenez practices in Ewa Beach, HI. The NPI Number for Alfonso F Jimenez is 1821290917 and holds a License No. (Hawaii).

The current practice location address for Alfonso F Jimenez is 91-896 Makule Rd, Ewa Beach, HI and can be reached out via phone at 808-689-4414 and via fax at 808-689-7115.

Location: 91-896 Makule Rd, Ewa Beach, HI, 96706-2543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821290917
Provider Name
Alfonso F Jimenez
Credential
Provider Entity Type
Organization
Address
91-896 Makule Rd, Ewa Beach, HI, 96706-2543
Phone Number
808-689-4414
Fax Number
808-689-7115
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H54602 01 HI MEDICARE PROVIDER NUMBER
H54603 01 HI MEDICARE PROVIDER NUMBER
H54601 01 HI MEDICARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
91-896 Makule Rd
City
Ewa Beach
State
Hawaii
Zip
96706-2543
Phone Number
808-689-4414
Fax Number
808-689-7115
person
Provider Business Mailing Address Details
Address
91-896 Makule Rd
City
Ewa Beach
State
Hawaii
Zip
96706-2543
Phone Number
808-689-4414
Fax Number
808-689-7115
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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