Active NPI
Mirelys Jimenez, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11030672
- Practice address
- 3250 Mary St Ste 300
Miami, FL 33133-5293 - Phone
- (305) 908-1115
- Fax
- (305) 675-3135
- NPI assigned
- Oct 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11030672 | FL | Primary |
Addresses
Primary practice location
3250 Mary St Ste 300
Miami, FL 33133-5293
Mailing address
50 W 33Rd St
Hialeah, FL 33012-5222
Phone (786) 307-0497
Other practice location 1
50 W 33rd St
Hialeah, FL 33012-5222
Phone (786) 307-0497
Other practice location 2
12600 SW 120th St Ste 101
Miami, FL 33186-9115
Phone (305) 908-1115
Other practice location 3
363 S Homestead Blvd
Homestead, FL 33030-7309
Phone (305) 908-1115
Other practice location 4
13926 SW 47th St
Miami, FL 33175-4404
Phone (305) 908-1115
Other practice location 5
8300 W Flagler St Ste 210
Miami, FL 33144-6002
Phone (305) 908-1115
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3250 Mary St
Suite 300
Miami, FL 33133-5293
Phone 3059081115324
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11030672 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ep Facility LLC | Current | Accepting new patients | |
| Somos Vida Medical Center, LLC | Current | Accepting new patients | |
| Somos Vida Medical Multiservice LLC | Current | Accepting new patients | |
| Elevate Psychiatry LLC | Current | Accepting new patients |
Locations
8200 NW 41st St
Ste 300
Doral, FL 33166
4201 Palm Ave
Hialeah, FL 33012
Phone (305) 556-2929
8300 W Flagler St
Ste 210
Miami, FL 33144
Phone (305) 553-0270
13926 SW 47th St
Miami, FL 33175
Phone (305) 340-5555
3250 Mary St
Ste 300
Miami, FL 33133
Phone (305) 900-6878
12600 SW 120th St
Ste 101
Miami, FL 33186
Phone (305) 506-1930
5190 NW 167th St
Ste 109
Miami Lakes, FL 33014
Phone (305) 384-6450
4064 SW 69th Ave
Miramar, FL 33023
Phone (954) 239-8847
20215 NW 2nd Ave
Ste 1
North Miami Beach, FL 33169
Phone (305) 652-4542
17061 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 417-8498
Interoperability endpoints
- mirelys.jimenez.1@18528.direct.athenahealth.com
- https://api.platform.athenahealth.com/18528/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Miami, FL
- NPI 1902346513
-
- Family Medicine Physician
- Hialeah, FL
- NPI 1699365569
-
- Psychiatry Physician
- Miami, FL
- NPI 1275399933
-
- Family Medicine Physician
- Hialeah, FL
- NPI 1861108342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1497266944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 W 33RD ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330125222",
"telephone_number": "786-307-0497",
"fax_number": "305-742-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 MARY ST STE 300",
"city": "MIAMI",
"state": "FL",
"postal_code": "331335293",
"telephone_number": "305-908-1115",
"fax_number": "305-675-3135"
}
],
"practiceLocations": [
{
"address_1": "50 W 33rd St",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330125222",
"country_code": "US",
"telephone_number": "786-307-0497",
"fax_number": "305-742-2190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12600 SW 120th St Ste 101",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331869115",
"country_code": "US",
"telephone_number": "305-908-1115",
"fax_number": "305-675-3135",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "363 S Homestead Blvd",
"address_purpose": "LOCATION",
"city": "Homestead",
"state": "FL",
"postal_code": "330307309",
"country_code": "US",
"telephone_number": "305-908-1115",
"fax_number": "305-675-3135",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13926 SW 47th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331754404",
"country_code": "US",
"telephone_number": "305-908-1115",
"fax_number": "305-675-3135",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8300 W Flagler St Ste 210",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331446002",
"country_code": "US",
"telephone_number": "305-908-1115",
"fax_number": "305-675-3135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ",
"first_name": "MIRELYS",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11030672",
"primary": true
}
],
"identifiers": [],
"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 Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.