Organization
RICARDO J. JIMENEZ LEE M.D., PLASTIC & RECONSTRUCTIVE SURGERY, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO J. JIMENEZ M.D. (PRESIDENT)
(787) 427-9955
Entity
Organization
Contact information
Practice address
101 SAN PATRICIO AVE., MARAMAR PLAZA SUITE 805, SAN JUAN, PR 00969
(787) 620-4070
Mailing address
PO BOX 362246, SAN JUAN, PR 00936-2246
(787) 427-9955
(787) 620-4072
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
14168
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14168
STATE LICENCE
PR
Enumeration date
03/19/2007
Last updated
08/22/2020
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