Arturo Contreras Jimenez

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

8725 Youngerman CT Ste 104
Jacksonville, FL 32244-6692

Phone

(305) 202-4751

NPI assigned

Apr 19, 2018

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1669969192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 YOUNGERMAN CT STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446692",
            "telephone_number": "305-202-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 YOUNGERMAN CT STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446692",
            "telephone_number": "305-202-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS JIMENEZ",
        "first_name": "ARTURO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Conviva Medical Center Management LLC

• All providers in Jacksonville, FL
• Driver in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.