Guillermo R Jimenez
Medical Specialty
Professional ID
- NPI: 1154570984
- PECOS ID: 8921395617
- Enrollment ID: I20160923000348
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2001
Hospital Service
- Hospital CCN1: 070017
- Business Name (LBN)1: Midstate Medical Center
- Hospital CCN2: 070035
- Business Name (LBN)2: Hospital Of Central Connecticut, The
- Hospital CCN3: 070025
- Business Name (LBN)3: Hartford Hospital
Medical Practices
- Organization Name: Meriden Imaging Center, Inc.
- Group Practice ID assigned by PECOS: 4385683556
- Number of Group Practice member: 22
Location
- Address1: 863 N Main St Ext
- Address2: Midstate Imaging Center
- City: Wallingford
- State: Connecticut
- Zip Code: 06492
- Phone Number:
Medical Practices
- Organization Name: Midstate Radiology Associates
- Group Practice ID assigned by PECOS: 4880593565
- Number of Group Practice member: 25
Location
- Address1: 883 Paddock Ave
- Address2:
- City: Meriden
- State: Connecticut
- Zip Code: 06450
- Phone Number: (203)949-2700
Medical Practices
- Organization Name: New Britain Radiological Associates
- Group Practice ID assigned by PECOS: 9638066590
- Number of Group Practice member: 11
Location
- Address1: 1291 Boston Post Rd
- Address2:
- City: Madison
- State: Connecticut
- Zip Code: 06443
- Phone Number: (203)245-8346
Location
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):