| Mario a Jimenez MD PA | |
|
14740 Sw 26th St Ste 107 Miami FL 33185 | |
| (305) 388-1118 | |
| (305) 223-3242 |
| Full Name | Mario a Jimenez MD PA |
|---|---|
| Speciality | Family Medicine |
| Location | 14740 Sw 26th St Ste 107, Miami, Florida |
| Authorized Official Name and Position | Mario a Jimenez (OWNER) |
| Authorized Official Contact | 3053881118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mario a Jimenez MD PA 12901 Sw 66th Terrace Dr Miami FL 33183-1315 Ph: (305) 388-1118 | Mario a Jimenez MD PA 14740 Sw 26th St Ste 107 Miami FL 33185 Ph: (305) 388-1118 |
| NPI Number | 1013357441 |
|---|---|
| Provider Enumeration Date | 06/29/2013 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Medicare PECOS PAC ID | 4385885383 |
|---|---|
| Medicare Enrollment ID | O20130801000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013357441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME114414 (Florida) | Primary |
| Provider Name | Mario Alberto Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225353766 PECOS PAC ID: 9739334376 Enrollment ID: I20130305000069 |
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