Mario a Jimenez MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME114414 Issued in FL

Legal business name

MARIO A JIMENEZ MD PA

Practice address

14740 SW 26TH St Ste 107
Miami, FL 33185

Phone

(305) 388-1118

Fax

(305) 223-3242

NPI assigned

Jun 29, 2013

Organization subpart

No

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

Authorized official

Name

Mario A Jimenez, MDNPI 1225353766

Title

Owner

Phone

(305) 388-1118

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Mario Alberto Jimenez, M.D.

  • General Practice Physician
  • Miami, FL
  • NPI 1225353766
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1013357441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 SW 66TH TERRACE DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831315",
            "telephone_number": "305-388-1118",
            "fax_number": "305-223-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14740 SW 26TH ST STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33185",
            "telephone_number": "305-388-1118",
            "fax_number": "305-223-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO A JIMENEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-29",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-388-1118",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME114414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Marino
• Vanessa C Marino, O.D.
• Mario & Clara Medical Supplies, Inc.
• Mario a Almeida MD PA
• Mario a Delgado MD PA
• Mario Aguado MD PA
• Mario Carcamo PA
• Mario Deliveries, Inc
• Mario E Reyes MD PA
• Mario J Sanchez-Martinez MD PA

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.