Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME131152 | FL |
N | 208600000X | Surgeon | ME131152 | FL |
Y | 2086X0206X | Surgical Oncologist | ME131152 | FL |
NPI | 1306838727 |
---|---|
Provider Name | Ramon Emilio Jimenez |
First Address | Miami, FL 33173-3245 |
Second Address | Miami, FL 33176-2118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1306838727 | INDIVIDUAL NPI (01) | |
H89582 | (02) |