Provider Demographics
NPI:1407455405
Name:JIMENEZ RAMOS, RICARDO ENRIQUE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:ENRIQUE
Last Name:JIMENEZ RAMOS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PROFESSIONAL OFFICES PARK
Mailing Address - Street 2:1001 CALLE SAN ROBERTO SUITE 101
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-780-7200
Mailing Address - Fax:
Practice Address - Street 1:PROFESSIONAL OFFICES PARK
Practice Address - Street 2:1001 CALLE SAN ROBERTO SUITE 101
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-780-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR006534183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist