Individual
MRS. RUTH JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 CALLE PIMENTEL, RIO GRANDE, PR 00745-3063
(787) 887-2475
Mailing address
PO BOX 756, RIO GRANDE, PR 00745-0756
(787) 887-2475
(787) 888-1033
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
20-F-3185
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
799579
LICENSE
PR
Enumeration date
02/07/2007
Last updated
10/19/2018
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