Santiago A Jimenez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME65074 Issued in FL

Practice address

8734 Lee Vista Blvd
Orlando, FL 32829-8022

Phone

(407) 910-2340

Fax

(407) 237-0944

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Florida Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1649241704
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1033145065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8734 LEE VISTA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298022",
            "telephone_number": "407-910-2340",
            "fax_number": "407-237-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8734 LEE VISTA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298022",
            "telephone_number": "407-910-2340",
            "fax_number": "407-237-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "SANTIAGO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME65074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373964300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendy Ines Jimenez
• Lizette Lame Jimenez, LCSW
• Nancy M Jimenez, MA MHC
• Rosalinda Jimenez, D.R.
• Sabrina Jimenez
• Sidney Leslie Jimenez, MA 93477
• Megan L Jimison, RN
• Ayodele Maruf Jinadu, APRN
• Beverly Heidel Arriola Jiongco
• Lindsay Jipp

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.