Organization Active NPI

Robert L. Jimenez, MD, PA

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1225245079
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ROBERT L. JIMENEZ, MD, PA
Practice address
2515 McCullough Ave Ste a
San Antonio, TX 78212-3584
Phone
(210) 612-3244
Fax
(210) 637-9034
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Robert L. Jimenez, MD
Title
President
Phone
(210) 612-3244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2515 McCullough Ave Ste a
San Antonio, TX 78212-3584

Mailing address

PO Box 15407
San Antonio, TX 78212-8607
Phone (210) 612-3244

National Provider Directory

National Provider Directory

Locations

2515 McCullough Ave
Ste A
San Antonio, TX 78212
Phone (210) 612-3244

134 E Mistletoe Ave
San Antonio, TX 78212
Phone (210) 223-1100

2608 N Main Ave
Ste 101
San Antonio, TX 78212

2608 N Main Ave
#101
San Antonio, TX 78212
Phone (210) 612-3244

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1225245079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15407",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782128607",
            "telephone_number": "210-612-3244",
            "fax_number": "210-637-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 MCCULLOUGH AVE STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123584",
            "telephone_number": "210-612-3244",
            "fax_number": "210-637-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. JIMENEZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-06-20",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-612-3244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.