Active NPI
Manuel Jimenez, D.M.D.
- Dentist
- Coral Gables, FL
National Provider Identifier
1033452370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN18326
- Practice address
- 4950 S Le Jeune Rd
Suite B
Coral Gables, FL 33146-2231 - Phone
- (305) 667-5539
- Fax
- (305) 667-5593
- NPI assigned
- Apr 5, 2013
- Last updated
- Mar 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN18326 | FL | Primary |
Addresses
Primary practice location
4950 S Le Jeune Rd
Suite B
Coral Gables, FL 33146-2231
Mailing address
4950 S Lejeune Road
Suite B
Coral Gables, FL 33146
Phone (305) 667-5539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18326 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393804800000",
"number": "1033452370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 S LEJEUNE ROAD",
"address_2": "SUITE B",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33146",
"telephone_number": "305-667-5539",
"fax_number": "305-667-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 S LE JEUNE RD",
"address_2": "SUITE B",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462231",
"telephone_number": "305-667-5539",
"fax_number": "305-667-5593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-05",
"last_updated": "2014-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN18326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.