Provider Demographics
NPI:1982444345
Name:JIMENEZ RAMOS, NOEL
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:
Last Name:JIMENEZ RAMOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C19 CALLE MANATI
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-2307
Mailing Address - Country:US
Mailing Address - Phone:787-344-1873
Mailing Address - Fax:
Practice Address - Street 1:CARR.3 KM 17.8 PLAZA CANOVANAS
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-957-2711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician