Healthcare Provider Details
I. General information
NPI: 1033101787
Provider Name (Legal Business Name): FRANCISCO JAVIER JAVIER JIMENEZ RAMIREZ PHARM.D., BCPS, CDE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/18/2005
Last Update Date: 12/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CALLE SAN JOSE # 3
LARES PR
00669-2432
US
IV. Provider business mailing address
CALLE SAN JOSE # 3
LARES PR
00669-0186
US
V. Phone/Fax
- Phone: 787-897-1500
- Fax: 787-897-2655
- Phone: 787-382-1383
- Fax: 787-897-2655
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 4586 |
| License Number State | PR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1835P1200X |
| Taxonomy | Pharmacotherapy Pharmacist |
| License Number | 4586 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: