Provider Demographics
NPI:1740303767
Name:JIMENEZ, ZULAIKA S (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ZULAIKA
Middle Name:S
Last Name:JIMENEZ
Suffix:
Gender:F
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:RR-36 VILLAS DE MONTE ATENAS I
Mailing Address - Street 2:APT 404
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-453-1152
Mailing Address - Fax:
Practice Address - Street 1:RR-36 VILLAS DE MONTE ATENAS I
Practice Address - Street 2:APT 404
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-453-1152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4996183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist