Individual provider Active NPI

Eileen Rivera Jimenez, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1124537402
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9353027 Issued in FL
Practice address
9117 SW 87TH Ave
Miami, FL 33176-2302
Phone
(305) 495-0881
NPI assigned
Sep 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9353027 FL Primary

Addresses

Primary practice location

9117 SW 87TH Ave
Miami, FL 33176-2302

Mailing address

9117 SW 87TH Ave
Miami, FL 33176-2302
Phone (305) 495-0881

Other practice location 1

5200 NE 2nd Ave
Miami, FL 33137-2706
Phone (306) 751-8626

Other practice location 2

1764 Mineral Spring Ave
North Providence, RI 02904-3927
Phone (401) 389-9856

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180424000538 FL Practitioner - Nurse Practitioner 6406119528 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9353027FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bwell Med Center Corp CurrentSince Mar 17, 2024 Accepting new patients
Manuel a Ojeda MD PA CurrentSince Oct 2, 2018 Accepting new patients
Miami Jewish Health Systems, Inc. CurrentSince Nov 11, 2017 Accepting new patients

Locations

10500 NW 26th St
Ste A102A
Doral, FL 33172
Phone (305) 364-5182

5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387

201 NE 112th St
North Miami, FL 33161
Phone (305) 899-4700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1124537402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9117 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762302",
            "telephone_number": "305-495-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9117 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762302",
            "telephone_number": "305-495-0881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 NE 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331372706",
            "country_code": "US",
            "telephone_number": "306-751-8626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1764 Mineral Spring Ave",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029043927",
            "country_code": "US",
            "telephone_number": "401-389-9856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA JIMENEZ",
        "first_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9353027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.