Mayra Jimenez

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

19298 Issued in FL

Practice address

14750 SW 26TH St Ste 208
Miami, FL 33185

Phone

(786) 416-2106

Fax

(786) 615-9608

NPI assigned

Jun 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fundamentals Therapy Group Corp

  • Clinic/Center
  • Miami Lakes, FL
  • NPI 1194471722
  NPD Authorized official
• Skills Builders Therapy Group

  • Occupational Therapy Assistant
  • Miami, FL
  • NPI 1407196678

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1588078117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 NW 165TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166137",
            "telephone_number": "786-343-7959",
            "fax_number": "786-615-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 SW 26TH ST STE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33185",
            "telephone_number": "786-416-2106",
            "fax_number": "786-615-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MAYRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "19298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariela Stephanie Jimenez, APRN
• Mario Alberto Jimenez, M.D.
• Maryelis M Jimenez
• Matthew Jimenez
• Maurin Jimenez, MD
• Melissa Jimenez, PHARMD
• Michael Jimenez
• Michael Anthony Jimenez, APRN
• Milton A Jimenez, MD
• Mirelys Jimenez, PMHNP-BC

• Occupational Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.