Individual provider Active NPI

Sonia M Jimenez-Victores, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Hialeah, FL
National Provider Identifier
1548299498
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME79874 Issued in FL
Practice address
315 W 49TH St
Suite a
Hialeah, FL 33012-3715
Phone
(305) 820-4426
Fax
(305) 820-4436
NPI assigned
Jul 2, 2006
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME79874 FL Primary

Addresses

Primary practice location

315 W 49TH St
Suite a
Hialeah, FL 33012-3715

Mailing address

315 W 49TH St
Suite a
Hialeah, FL 33012-3715
Phone (305) 820-4426

Other identifiers 1

IdentifierTypeStateIssuer
259076000MedicaidFL

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
I20080326000234 FL Practitioner - Internal MedicinePractitioner - Endocrinology 1951487354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 W 49TH St
Suite a
Hialeah, FL 33012-3715
Phone (305) 495-6508

Hospital & facility affiliations

National Provider Directory

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1548299498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 49TH ST",
            "address_2": "SUITE A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123715",
            "telephone_number": "305-820-4426",
            "fax_number": "305-820-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 49TH ST",
            "address_2": "SUITE A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123715",
            "telephone_number": "305-820-4426",
            "fax_number": "305-820-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ-VICTORES",
        "first_name": "SONIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME79874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259076000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.