Individual provider · Type 1 NPI

Maria de Guadalupe Jimenez Ayasta, MD

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1104670504 Active

Practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104670504

Maria de Guadalupe Jimenez Ayasta, MD's National Provider Identifier is 1104670504, issued on Apr 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 12, 2024.