Individual provider · Type 1 NPI

Johnny Eduardo Jimenez Lopez, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1104743293 Active

Practice location

4422 3rd Ave
Bronx, NY 10457-2594

Call (718) 960-6202 Map

Mailing address

664 E 188th St Unit 3
Bronx, NY 10458-6209

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 1104743293

Johnny Eduardo Jimenez Lopez, MD's National Provider Identifier is 1104743293, issued on Jun 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Jun 30, 2026.