DR. GUSTAVO JIMENEZ (NPI# 1568724177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568724177 |
| Entity Type | Individual |
| Full Name | DR. GUSTAVO JIMENEZ |
| Credential | PHARM. D. |
| Practice Address |
Encantada Plz # 181 Trujillo Alto PR 00976-6301 |
| Mailing Address |
153 Calle Gardenia Round Hill Trujillo Alto PR 00976-2703 |
| Practice Telephone | 7872922050 |
| Practice Fax Number | 7877556836 |
| Mailing Telephone | 7876776368 |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2012-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5561 | PR | Pharmacy Service Providers |
| Street Address |
ENCANTADA PLZ # 181 |
| City | TRUJILLO ALTO |
| State | PR |
| Zip Code | 00976-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546369 | Caroll Lynn Garcia | Physical Therapist | Parque Terralinda Apartado 2902, Trujillo Alto, PR 00976 | 2020-10-21 |
| 1083225908 | Expand Md Management Systems Corp | Internal Medicine | Montebello Estates Calle 4 C15, Trujillo Alto, PR 00976 | 2020-08-13 |
| 1215553375 | Damarys Reyes | Naturopath | Carr.181 Expreso Trujillo Alto Km.4.4 Local #14, Centro Comercial Lago Alto, Trujillo Alto, PR 00976 | 2020-06-24 |
| 1649890542 | Jeniffer Borrero | Family Medicine | 3 Bosque Del Rio, Trujillo Alto, PR 00976 | 2020-04-21 |
| 1417583899 | Ana Mary Pineiro Salgado | Pharmacist | Pr 181 & Pr 850, Trujillo Alto, PR 00976 | 2020-03-18 |
| 1417581802 | Gregori Cruz-figueroa | Ambulance | Carr 181 Km 0 Hm 1, Bo Las Cuevas Sector Vacas Flacas, Trujillo Alto, PR 00976 | 2020-02-25 |
| 1588298954 | Hector Mercado | General Practice | Villas De Carraizo Calle 48 R-9, Trujillo Alto, PR 00976 | 2020-02-25 |
| 1164054201 | Alexis Xavier Curet Burleson | Student in an Organized Health Care Education/Training Program | Calle Bianca G-5, Urb. Andrea's Court, Trujillo Alto, PR 00976 | 2020-02-06 |
| 1417593559 | Tato's Saving Lives Ambulance Services Inc. | Ambulance | Bariio Santo Domingo, Calle 4 # 288 Saint Just, Trujillo Alto, PR 00976 | 2019-11-25 |
| 1083257539 | Jackeline Perez Carrasquillo I | Speech-Language Pathologist | Urb. Villas De Trujillo Alto, Calle 2 Num 29 A, Trujillo Alto, PR 00976 | 2019-10-28 |
| Find all providers in zip 00976 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760981559 | Lesbia Hernandez | Pharmacist | Harbor Plaza Apt 702, 105 Paseo Concepcion De Gracia, San Juan, PR 00901 | 2018-02-07 |
| 1750895660 | Angel Castro | Pharmacist | Bo Obrero Station, Santurce, PR 00916 | 2017-11-30 |
| 1407184633 | Alida Griselle Marrero | Pharmacist | Hacienda San Jose 101 Asomante, Caguas, PR 00727 | 2009-11-30 |
| 1457534109 | Vivian L. Rogers Sanchez | Pharmacist | Calle F A15, Urb Jacaranda, Ponce, PR 00730-1604 | 2007-12-17 |
| 1184819245 | Edgardo R Carmona | Pharmacist | 2188 Eduardo Ruberte Ave, Suite 105, Ponce, PR 00716 | 2007-09-12 |
| 1306043187 | Jose A Ortiz | Pharmacist | F39 Colina Del Toa, Villa Las Colinas, Toa Baja, PR 00949-4940 | 2007-06-27 |
| 1639371313 | Anacelys Gonzalez-viera | Pharmacist | 2250 Ave Las Americas, Suite 607, Ponce, PR 00717-0777 | 2007-06-04 |
| 1558562272 | Martin Perez | Pharmacist | Rr 4 Box 26131bo.ortiz, Sector La Rosa, Toa Alta, PR 00953 | 2007-05-30 |
| 1609084185 | Santializ Fernandez | Pharmacist | Los Prados El Valle, 299 (h11) Paseo Del Flamboyan, Caguas, PR 00727-3221 | 2007-05-18 |
| 1942416656 | Lynnette Rivera | Pharmacist | Amapola 99, La Serrania, Caguas, PR 00725 | 2007-05-16 |
| Find all providers with the same taxonomy | ||||
| City | TRUJILLO ALTO |
| Zip Code | 00976 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.