Individual provider Active NPI

Maria Isabel Jimenez Rodriguez, M.D

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1437522844
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN 827 Issued in FL
Practice address
3709 W Hamilton Ave Ste 8
Tampa, FL 33614-4015
Phone
(813) 436-0050
NPI assigned
Nov 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19220 PR
General Practice Physician 208D00000X ACN 827 FL Primary

Addresses

Primary practice location

3709 W Hamilton Ave Ste 8
Tampa, FL 33614-4015

Mailing address

3709 W Hamilton Ave Ste 8
Tampa, FL 33614-4015

Other names 1

  • Maria Isabel Jimenez Rodriguez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160203002263 PR Practitioner - General Practice 7517261035 Practice locations: Guayama, PR
I20170221002784 FL Practitioner - General Practice 7517261035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3709 W Hamilton Ave
Suite 5
Tampa, FL 33614-4015
Phone (813) 436-0050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN 827FLMDGeneral Practice Physician
19220PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jimenez Rodriguez General Practice Corp General Practice CurrentSince May 29, 2018 Accepting new patients

Locations

500 Vonderburg Dr
Ste 201E
Brandon, FL 33511
Phone (813) 655-1100

3709 W Hamilton Ave
Ste 5
Tampa, FL 33614
Phone (813) 436-0050

3709 W Hamilton Ave
Ste 8
Tampa, FL 33614
Phone (813) 436-0050

Organizations & group practices 1

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": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1437522844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 W HAMILTON AVE STE 8",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 W HAMILTON AVE STE 8",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144015",
            "telephone_number": "813-436-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ RODRIGUEZ",
        "first_name": "MARIA",
        "middle_name": "ISABEL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19220",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN 827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "JIMENEZ RODRIGUEZ",
            "middle_name": "ISABEL",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.