Individual provider Active NPI

Humberto Jose Jimenez, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1417278227
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME107052 Issued in FL
Practice address
9101 SW 24TH St Ste 100
Miami, FL 33165-2083
Phone
(305) 260-7506
Fax
(305) 260-7581
NPI assigned
Jun 15, 2010
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME107052 FL Primary

Addresses

Primary practice location

9101 SW 24TH St Ste 100
Miami, FL 33165-2083

Mailing address

9101 SW 24TH St Ste 100
Miami, FL 33165-2083
Phone (305) 260-7506

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110211000824 FL Practitioner - Family Practice 5597945246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2974 SW 8TH St
Optum of Little Havana
Miami, FL 33135-2827
Phone (305) 631-3000

9101 SW 24TH Street
100 Optum of Westchester
Miami, FL 33165-2083
Phone (305) 260-7506

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc Family Medicine CurrentSince Feb 13, 2016 Accepting new patients
Juan a Mantilla MD PA CurrentSince Aug 1, 2010 Accepting new patients

Locations

11400 N Kendall Dr
Ste 204
Miami, FL 33176
Phone (305) 279-2222

2974 SW 8th St
Miami, FL 33135
Phone (305) 631-3000

7800 SW 24th St
Miami, FL 33155
Phone (305) 260-7506

8501 SW 124th Ave
Ste 202
Miami, FL 33183
Phone (305) 279-4222

9101 SW 24th St
Ste 100
Miami, FL 33165
Phone (305) 260-7506

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBFFCD
  • Direct secure messaging: humberto.jimenez@wellmed.eclinicaldirectplus.com

Organizations & group practices 2

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1417278227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 SW 24TH ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652083",
            "telephone_number": "305-260-7506",
            "fax_number": "305-260-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 SW 24TH ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652083",
            "telephone_number": "305-260-7506",
            "fax_number": "305-260-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "HUMBERTO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME107052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.