=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124903216
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RICARDO RAMIREZ PABON R.PH.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/07/2025
-----------------------------------------------------
Last Update Date | 08/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | COND ROOSEVELT AVE
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00917-2710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-786-6382
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 405 CALLE DUBLIN
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00920-3712
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-638-8937
-----------------------------------------------------
Fax | 787-706-9491
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 002478
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------