Active NPI
Maurin Jimenez MD PA
- Family Medicine Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME95052
- Legal business name
- MAURIN JIMENEZ MD PA
- Practice address
- 962 SW 82ND Ave
Miami, FL 33144-4271 - Phone
- (786) 619-3360
- Fax
- (786) 619-3360
- NPI assigned
- Feb 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maurin Jimenez, MD
- Title
- President
- Phone
- (786) 619-3360
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME95052 | FL | Primary |
Addresses
Primary practice location
962 SW 82ND Ave
Miami, FL 33144-4271
Mailing address
962 SW 82ND Ave
Miami, FL 33144-4271
Phone (786) 619-3360
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275404500 | Medicaid | FL | |
| 53011 | Other | FL | BLUE CROSS, BLUE SHIELD |
| 9021195 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2321628 | Maurin Jimenez MD PA | Certificate of waiver | Apr 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
962 SW 82nd Ave
Miami, FL 33144
Phone (305) 265-4167
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Miami, FL
- NPI 1982783353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471219200000",
"number": "1063803872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "962 SW 82ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331444271",
"telephone_number": "786-619-3360",
"fax_number": "786-619-3360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "962 SW 82ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331444271",
"telephone_number": "786-619-3360",
"fax_number": "786-619-3360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAURIN JIMENEZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-16",
"last_updated": "2016-08-15",
"status": "A",
"authorized_official_last_name": "JIMENEZ",
"authorized_official_first_name": "MAURIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-619-3360",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME95052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275404500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS, BLUE SHIELD",
"identifier": "53011",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9021195",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.