Organization Active NPI

Ricardo J. Jimenez Lee M.D., Plastic & Reconstructive Surgery, P.S.C.

  • Plastic Surgery Physician
  • San Juan, PR
National Provider Identifier
1659495158
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
14168 Issued in PR
Legal business name
RICARDO J. JIMENEZ LEE M.D., PLASTIC & RECONSTRUCTIVE SURGERY, P.S.C.
Practice address
101 San Patricio Ave.
Maramar Plaza Suite 805
San Juan, PR 00969
Phone
(787) 620-4070
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ricardo J. Jimenez, M.D.
Title
President
Phone
(787) 427-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 14168 PR Primary

Addresses

Primary practice location

101 San Patricio Ave.
Maramar Plaza Suite 805
San Juan, PR 00969

Mailing address

PO Box 362246
San Juan, PR 00936-2246
Phone (787) 427-9955

Other identifiers 1

IdentifierTypeStateIssuer
14168OtherPRSTATE LICENCE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659495158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362246",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009362246",
            "telephone_number": "787-427-9955",
            "fax_number": "787-620-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAN PATRICIO AVE.",
            "address_2": "MARAMAR PLAZA SUITE 805",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-620-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO J. JIMENEZ LEE M.D., PLASTIC & RECONSTRUCTIVE SURGERY, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-427-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "PR",
            "license": "14168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "14168",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.